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1508236415
BETHANY SUMERFORD
JACKSON, MS
NPI
1508236415
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: MS R891236)
Enumeration Date
2015-10-05
Last Update Date
2015-10-05
Business Address
Miss BETHANY SUMERFORD FNP-C
514 E WOODROW WILSON AVE SUITE A-B
JACKSON, MS 39216-4538
Phone number: 601-321-2234
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Mailing Address
Miss BETHANY SUMERFORD FNP-C
3502 W NORTHSIDE DR
JACKSON, MS 39213-4454
Phone number: 601-362-5321
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