Healthcare Provider Details

I. General information

NPI: 1982434478
Provider Name (Legal Business Name): MERRILL FRANCES WARNAT FNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/07/2024
Last Update Date: 03/21/2025
Certification Date: 03/21/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

900 EARL FRYE BLVD
AMORY MS
38821-5507
US

IV. Provider business mailing address

2200 OLD WEST POINT RD
COLUMBUS MS
39701-8698
US

V. Phone/Fax

Practice location:
  • Phone: 662-256-9331
  • Fax: 662-570-6119
Mailing address:
  • Phone: 662-386-1088
  • Fax: 662-570-6119

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number906855
License Number StateMS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: