Healthcare Provider Details

I. General information

NPI: 1396669248
Provider Name (Legal Business Name): FRANCES COUNTS FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/05/2026
Last Update Date: 08/26/2026
Certification Date: 08/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

50 PARKWAY LN STE 10
PETAL MS
39465-3054
US

IV. Provider business mailing address

415 S 28TH AVE
HATTIESBURG MS
39401-7246
US

V. Phone/Fax

Practice location:
  • Phone: 601-544-7404
  • Fax: 601-584-6457
Mailing address:
  • Phone: 601-544-7404
  • Fax: 601-584-6457

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number908661
License Number StateMS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: