Gwendolyn Corrothers Royal, FNP-C
NPI #1174298293 in Vicksburg, Mississippi
Provider Information
- NPI Number
- 1174298293
- Entity Type
- Individual
- Name
- Gwendolyn Corrothers Royal, FNP-C
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Nurse Practitioner - Family
- Credential
- FNP-C
- Enumeration Date
- Aug 11, 2021
- Last Updated
- Nov 18, 2021
Practice Location
- Address
- 919 MISSION 66
- City
- Vicksburg
- State
- Mississippi
- ZIP Code
- 39183-2751
- Phone
- (601) 262-2922
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Family — Family |
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