Gloster North Family Medical Clinic INC
NPI #1356415244 in Tupelo, Mississippi
Provider Information
- NPI Number
- 1356415244
- Entity Type
- Organization
- Organization Name
- Gloster North Family Medical Clinic INC
- Primary Specialty
- Nurse Practitioner
- Enumeration Date
- Nov 20, 2006
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 1714 N GLOSTER ST
- City
- Tupelo
- State
- Mississippi
- ZIP Code
- 38804-1216
- Phone
- (662) 841-5086
Authorized Official
- Name
- MS. MARY ANNE MASON, APRN, BC
- Title
- OWNER
- Phone
- (662) 841-5086
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner |
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