Marilyn Smith, PMHNP | |
25 Dr Martin Luther King Dr, Durant, MS 39063-3577 | |
(662) 739-9016 | |
Not Available |
Full Name | Marilyn Smith |
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Gender | Female |
Speciality | Nurse Practitioner - Pediatrics |
Location | 25 Dr Martin Luther King Dr, Durant, Mississippi |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1205592623 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 904801 (Mississippi) | Secondary |
363LP0200X | Nurse Practitioner - Pediatrics | 904801 (Mississippi) | Primary |
Entity Name | Precise Clinical Neuroscience Specialists |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1770717449 PECOS PAC ID: 4880737626 Enrollment ID: O20100202000870 |
Mailing Address | Practice Location Address |
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Marilyn Smith, PMHNP 25 Dr Martin Luther King Dr, Durant, MS 39063-3577 Ph: () - | Marilyn Smith, PMHNP 25 Dr Martin Luther King Dr, Durant, MS 39063-3577 Ph: (662) 739-9016 |
Mr. Jabari Rashard Terrell, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1674 Eddisville Rd, Durant, MS 39063 Phone: 662-528-1063 | |
Mrs. Sharon B Lofton, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 33795 Ms-12, Durant, MS 39063 Phone: 662-653-0505 Fax: 662-653-0466 |