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General NPI Number Information
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NPI Number | 1568919330
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Entity Type | Organization
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Legal Business Name | BERRY NP SERVICES
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Dates
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Enumeration Date | 09/08/2016
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Last Update Date | 10/14/2025
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Provider Practice Location Address
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Address Line | 898 LYNDEN BLVD
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City | TUPELO
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State | MS
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Zip | 38801-6316
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Country | US
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Telephone | 662-842-4427
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Fax |
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Provider Business Mailing Address
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Address Line | 803 MAYNARD DR
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City | TUPELO
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State | MS
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Zip | 38801-5651
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Country | US
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Telephone | 662-401-2793
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Fax | 662-813-5137
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Authorized Official
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Title or Position | OWNER/FNP
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Name | VANESSA BERRY
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Credential | FNP
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Telephone | 662-401-2793
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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 | R872877
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License Number State | MS
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