THERESA RENEE KING

BROOKHAVEN, MS
NPI1669576989
Former NameTHERESA RENEE KING
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: MS  R873560)
Enumeration Date2006-09-08
Last Update Date2015-10-20
Business Address
-- THERESA RENEE KING RN, CFNP
427 HIGHWAY 51 N
BROOKHAVEN, MS 39601-2350
Phone number: 601-826-5500
Mailing Address
-- THERESA RENEE KING RN, CFNP
PO BOX 1805
BRANDON, MS 39043-1805
Phone number: 601-826-5500
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