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1790192482
COLLIER PEAVY
JACKSON, MS
NPI
1790192482
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: MS R888909)
Enumeration Date
2014-07-15
Last Update Date
2014-08-15
Business Address
Mrs. COLLIER PEAVY FNP-C
971 LAKELAND DR SUITE 750
JACKSON, MS 39216-4643
Phone number: 601-200-5955
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Mailing Address
Mrs. COLLIER PEAVY FNP-C
PO BOX 23666
JACKSON, MS 39225-3666
Phone number: 601-200-4749
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