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General NPI Number Information
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NPI Number | 1316290935
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Entity Type | Individual
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Provider Name | VERLENCIA R MYERS FNP-BC
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Gender | Female
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Dates
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Enumeration Date | 10/19/2012
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Last Update Date | 07/31/2025
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Provider Practice Location Address
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Address Line | 586 LAKELAND EAST DR STE A
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City | FLOWOOD
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State | MS
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Zip | 39232-9028
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Country | US
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Telephone | 601-559-9071
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Fax |
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Provider Business Mailing Address
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Address Line | 5839 HENDERSON RD
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City | PEARL
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State | MS
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Zip | 39208-9373
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Country | US
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Telephone | 601-559-9071
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 907600
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License Number State | MS
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Taxonomy #2
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Taxonomy Code | 376J00000X
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Taxonomy Name | Homemaker
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License Number |
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License Number State | NULL
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Taxonomy #3
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Taxonomy Code | 376K00000X
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Taxonomy Name | Nurse's Aide
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License Number |
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License Number State | NULL
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Taxonomy #4
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | R876299
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License Number State | MS
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