AISHA RENEA OUTLAW

STARKVILLE, MS
NPI1174980478
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: MS  R866124)
Enumeration Date2016-01-19
Last Update Date2016-01-19
Business Address
-- AISHA RENEA OUTLAW FNP
400 HOSPITAL RD
STARKVILLE, MS 39759-2163
Phone number: 662-323-4320
Mailing Address
-- AISHA RENEA OUTLAW FNP
103 EUDORA WELTY DRIVE J-02
STARKVILLE, MS 39759-2163
Phone number: 662-769-9781
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