MEDICARE: MRS. MARLEY RUMBARGER FNP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	BASS-L7SK8T	MS
2	363L00000X	Nurse Practitioner	902625	MS

General Provider Information

NPI Number	:	1881184893
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. MARLEY RUMBARGER FNP

Provider Business Mailing Address
First Line	:	499 GLOSTER CREEK VLG STE A1
Second Line	:
City	:	TUPELO
State	:	MS
Zip	:	38801-4749
Country	:	US
Telephone Number	:	662-432-0700
Fax Number	:

Provider Business Practice Location Address
First Line	:	188 STARLYN AVE
Second Line	:
City	:	NEW ALBANY
State	:	MS
Zip	:	38652-2436
Country	:	US
Telephone Number	:	662-486-2700
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/15/2018
Last Update Date	:	07/15/2025

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