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NPI Code Detail

MEDICARE: MRS. ADRAINE MARIE COX FNP

MEDICARE: MRS. ADRAINE MARIE COX 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
1363L00000XNurse Practitioner903059MS

General Provider Information

NPI Number : 1992346076
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. ADRAINE MARIE COX FNP
Provider Business Mailing Address
First Line : 237 BIRCH TREE LOOP
Second Line :
City : OXFORD
State : MS
Zip : 38655-6911
Country : US
Telephone Number : 662-417-6204
Fax Number :
Provider Business Practice Location Address
First Line : 778 LIBERTY RD
Second Line :
City : FLOWOOD
State : MS
Zip : 39232-9300
Country : US
Telephone Number : 769-243-6141
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/30/2019
Last Update Date : 12/29/2023

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Directions to “ MRS. ADRAINE MARIE COX FNP” Practice Location

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