Miss MYLIE KATE BEANE FNP-C
Individual Provider (NPI-1)
Active
Nurse Practitioner, Family
Provider Information
- NPI Number
1194497032- Provider Type
- Individual Provider (NPI-1)
- Credentials
- FNP-C
- Status
- Active
Contact & Location
- Address
- 830 S GLOSTER ST, TUPELO, MS, 388014934
- Phone
- (662) 377-3000
Specialties & Taxonomies
Registered Nurse
License: MS #906379
Nurse Practitioner, Family
Primary License: MS #904900