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MRS. LINDA L TROY FNP

Family >> Nurse Practitioner >> Physician Assistants & Advanced Practice Nursing Providers

Registrant NPI Number: 1194745638

Individual Registrant:
MRS. LINDA L TROY FNP
Gender: F
Sole Proprietor

Location and contact information for practice:
111 S. MAIN STREET  SARDIS, MS 38666 US
Tel: 662-487-1064  Fax: 662-487-1381

Contact information for business:
111 S MAIN STREET  SARDIS, MS 38666 US
Tel: 662-487-1064  Fax: 662-487-1381

Registration Information:
NPI: 1194745638
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y363LF0000XPhysician Assistants & Advanced Practice Nursing Providers
Nurse Practitioner
Family
MSR681202

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
CAQH11557998MS01
09232509MS05




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