Wanderful Porter, FNP-BC
NPI #1407833221 in Tupelo, Mississippi
Provider Information
- NPI Number
- 1407833221
- Entity Type
- Individual
- Name
- Wanderful Porter, FNP-BC
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Nurse Practitioner - Primary Care
- Credential
- FNP-BC
- Enumeration Date
- Dec 22, 2005
- Last Updated
- Oct 30, 2024
Practice Location
- Address
- 602 BRUNSON DR
- City
- Tupelo
- State
- Mississippi
- ZIP Code
- 38801-4947
- Phone
- (662) 680-3855
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Primary Care — Primary Care |
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Organizations
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|---|---|
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