ERNESTINE IVY

STARKVILLE, MS
NPI1992273072
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: MS  902734)
Enumeration Date2018-11-07
Last Update Date2018-11-07
Business Address
ERNESTINE IVY NP
900 STARK RD
STARKVILLE, MS 39759-3613
Phone number: 662-323-4400
Mailing Address
ERNESTINE IVY NP
396 BILLY COLEMAN RD
WEST POINT, MS 39773-7134
Phone number: 662-295-0151
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