BRENDA L STALLION-PATE

JACKSON, MS
NPI1386246569
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: MS  94221)
Enumeration Date2020-11-12
Last Update Date2021-01-27
Business Address
BRENDA L STALLION-PATE FNP
1190 N STATE STREET
JACKSON, MS 39202
Phone number: 601-292-4292
Mailing Address
BRENDA L STALLION-PATE FNP
1190 N STATE ST
JACKSON, MS 39202-2413
Phone number: 601-929-4292
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