PHYLLIS FIVEASH

CORINTH, MS
NPI1689996282
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: MS  R871915)
Enumeration Date2010-02-23
Last Update Date2018-05-15
Business Address
-- PHYLLIS FIVEASH CFNP
2001 STATE DR
CORINTH, MS 38834-9324
Phone number: 662-286-3694
Mailing Address
-- PHYLLIS FIVEASH CFNP
401 ALCORN DR STE 2C
CORINTH, MS 38834-9073
Phone number: 901-683-0055