Kristi M Slack, CF NP
Nurse Practitioner in Marietta, MS. Individual provider (NPI-1).
NPI number1003840232
StatusActive
Last updated in NPPESApr 11, 2008
Details
- NPI
- 1003840232
- Entity type
- Individual (NPI-1)
- Name
- Kristi M Slack
- Credential
- CF NP
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 11, 2006
- Last updated
- Apr 11, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363L00000X | Nurse Practitioner | R853095 | MS | Yes |
Practice location
3 County Road 4050Marietta, MS 38856
Phone 662-728-2408 · Fax 662-728-2409
Mailing address
Po Box 56Marietta, MS 38856-0056
Phone 662-728-2408 · Fax 662-728-2409
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