AGNES PAMELA UPCHURCH

GRENADA, MS
NPI1063644599
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: MS  r797137)
Enumeration Date2009-08-17
Last Update Date2020-02-11
Business Address
Mrs. AGNES PAMELA UPCHURCH FNP
1350 SUNSET DR STE B
GRENADA, MS 38901-4079
Phone number: 662-229-0669
Mailing Address
Mrs. AGNES PAMELA UPCHURCH FNP
1350 SUNSET DR STE B
GRENADA, MS 38901-4079
Phone number: 662-229-0669
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