Overview
Name: MISSISSIPPI MEDICAL CLINIC
Specialty: Family Nurse Practitioner
Type of Practice: Organization
Provider/Org:
Medical School:
Graduation year from medical school:
Affiliation:
Specialties
Practice Type: Physician Assistants & Advanced Practice Nursing Providers
Classification: Nurse Practitioner
Specialization: Family.
Definition of Specialty: Definition to come…
License & NPI
License #(s): , , , ,
License State(s): , , , ,
Addresses
Practice Location: MISSISSIPPI MEDICAL CLINIC,403 PINE ST,TAYLORSVILLE,MS,391685659,US
Mailing Address: MISSISSIPPI MEDICAL CLINIC,403 PINE ST,TAYLORSVILLE,MS,391685659,US
Contact #
Practice location phone #: 6014527080
Practice location fax #: 6014527083
Mailing address Phone #: 6014527080
Mailing Address fax #: 6014527083
Authorized official Name/Telephone #:MRS., PATTY, BULLOCK, NP, NP MANAGING PARTNER 6014527080
Misc
Date NPI was obtained: 08/24/2021
Last data data was updated: 12/02/2021
Insurances: