Clint Dylan Gunter
Nurse Practitioner, Family in Tupelo, MS. Individual provider (NPI-1).
NPI number1619703485
StatusActive
Last updated in NPPESJun 13, 2025
Details
- NPI
- 1619703485
- Entity type
- Individual (NPI-1)
- Name
- Clint Dylan Gunter
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Sep 10, 2024
- Certification date
- Jun 13, 2025
- Last updated
- Jun 13, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | 906882 | MS | Yes |
| 363LP2300X | Nurse Practitioner, Primary Care | 906882 | MS |
Practice location
1211 S Gloster St Ste ATupelo, MS 38801-6548
Phone 662-767-4200
Mailing address
171 Maffett RdPontotoc, MS 38863-6935
Phone 662-488-5330
Other practice locations
171 Maffett Rd
Pontotoc, MS 38863-6935
Pontotoc, MS 38863-6935
Phone 662-488-5330
100 Baptist Memorial Cir Ste 330
Oxford, MS 38655-4477
Oxford, MS 38655-4477
Phone 662-767-4200
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