GWENDOLYN PITCOCK SHIRLEY

SOUTHAVEN, MS
NPI1871726182
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: MS  R858450)
Enumeration Date2009-09-02
Last Update Date2010-02-09
Business Address
Mrs. GWENDOLYN PITCOCK SHIRLEY FNP
2149 STATELINE RD W
SOUTHAVEN, MS 38671-1222
Phone number: 662-342-1112
Mailing Address
Mrs. GWENDOLYN PITCOCK SHIRLEY FNP
3402 TOCOWA RD
COURTLAND, MS 38620-9213
Phone number: 662-563-3994