ROCHELLE VANITY CORK

PEARL, MS
NPI1548896301
Other NameROCHELLE WATSON
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LP2300X Nurse Practitioner, Primary Care
(Licence: MS  903496)
Additional Taxonomies363LA2200X Nurse Practitioner, Adult Health
(Licence: MS  903496)
363LG0600X Nurse Practitioner, Gerontology
(Licence: MS  903496)
Enumeration Date2020-03-12
Last Update Date2020-03-12
Business Address
ROCHELLE VANITY CORK NP
4635 US-80
PEARL, MS 39208
Phone number: 601-933-2500
Mailing Address
ROCHELLE VANITY CORK NP
4635 US-80
PEARL, MS 39208
Phone number: 601-933-2500