SUSAN DUFFIE


Address: 499 Gloster Creek Vlg, Suite A-3, Tupelo, MS 38801-4600
Phone: 6628441717

SUSAN DUFFIE (NPI# 1871674713) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1871674713
Entity Type Individual
Full Name SUSAN DUFFIE
Other Name SUSAN DUFFIE-MORGAN
Credential CFNP
Practice Address 499 Gloster Creek Vlg
Suite A-3
Tupelo
MS 38801-4600
Mailing Address 2434 S Eason Blvd
Tupelo
MS 38804-6942
Practice Telephone 6628441717
Practice Fax Number 6626806416
Mailing Telephone 6628441717
Mailing Fax Number 6626806416
Enumeration Date 2006-10-18
Last Update Date 2015-05-20
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
R777236 MS Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
MS 0123240 05
MS DEA NUMBER MD1222025 01

Other Providers SUSAN DUFFIE

NPI Name Taxonomy Address Enumeration
1659991032 Susan Duffie Physical Therapist 3635 Vista Ave, Saint Louis, MO 63110-2539 2020-04-25

Office Location

Street Address 499 GLOSTER CREEK VLG
SUITE A-3
City TUPELO
State MS
Zip Code 38801-4600

Providers in the same location

NPI Name Taxonomy Address Enumeration
1407856958 Clarance Stephen Farmer II Urology 499 Gloster Creek Vlg, Suite A1, Tupelo, MS 38801-4600 2005-07-27
1508219221 Jacob Rowland Physician Assistant 499 Gloster Creek Vlg, Suite G1, Tupelo, MS 38801-4600 2016-07-18
1073960308 Jordan Ward Licensed Practical Nurse 499 Gloster Creek Vlg, Tupelo, MS 38801-4600 2016-05-17
1326402660 Stephanie Denton Licensed Practical Nurse 499 Gloster Creek Vlg, Suite A-3, Tupelo, MS 38801-4600 2016-04-13
1942606256 Ivancic Pediatric Clinic Pa Clinic/Center 499 Gloster Creek Vlg, Suite H-3, Tupelo, MS 38801-4600 2014-11-13
1679903546 Northeast Mental Health-mental Retardation Commission Clinic/Center 499 Gloster Creek Vlg, Suite A-3, Tupelo, MS 38801-4600 2013-11-13
1063848638 Jennifer G. Estock Nurse Practitioner 499 Gloster Creek Vlg, Suite D-1, Tupelo, MS 38801-4600 2013-09-16
1508193459 David Benson Sumerford Nurse Practitioner 499 Gloster Creek Vlg, Suite D-1, Tupelo, MS 38801-4600 2009-11-13
1114252160 Katherine Mcduffie Nurse Practitioner 499 Gloster Creek Vlg, Suite A-2, Tupelo, MS 38801-4600 2009-10-08
1871736496 John Russell, IIi, D.m.d. Dentist 499 Gloster Creek Vlg, Tupelo, MS 38801-4600 2009-04-13
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1194339275 Friendship, LLC Pharmacy 4123 W Main St, Tupelo, MS 38801 2020-09-04
1003443458 Nicole Sherice Taylor Nurse Practitioner 845 South Gloster Street, Tupelo, MS 38801 2020-03-25
1821556838 Wilco Healthcare of North Mississippi, Pllc Point of Service 1514 Co Rd 41, Tupelo, MS 38801 2019-03-08
1821565235 Stephanie K Cagle Nurse Practitioner 218 S Thomas St Ste 120-121, Tupelo, MS 38801 2018-10-24
1073092326 Lauren Parrish Nurse Practitioner 1573 Medical Park Circle, Tupelo, MS 38801 2018-08-08
1467948687 North Mississippi Medcial Center, Inc. Nurse Practitioner 990 S Madison St Ste 2, Tupelo, MS 38801 2018-07-11
1043700933 Hooks Diabetes & Medicine Clinic Non-Pharmacy Dispensing Site 2610 Traceland Drive, Ste A, Tupelo, MS 38801 2018-05-16
1073035903 Annette C Riddle Counselor 1004 Eisenhower Drive, Tupelo, MS 38801 2017-07-12
1548709678 Jaime Summers Nurse Practitioner 2780 West Jackson St, Tupelo, MS 38801 2017-02-22
1073975611 Heath Bryan Coleman, Dds of Mississippi II, Pllc Dentist 1168 Cross Creek Drive, Tupelo, MS 38801 2016-03-23
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Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1336789387 Michelle Gardner Briley Nurse Practitioner 341 E Main St Ste A1, Tupelo, MS 38804-4040 2020-01-07
1891347522 Lisa Pierce Nurse Practitioner 913 Holly Hill Dr, Tupelo, MS 38801-2361 2019-07-12
1821565235 Stephanie K Cagle Nurse Practitioner 218 S Thomas St Ste 120-121, Tupelo, MS 38801 2018-10-24
1467948687 North Mississippi Medcial Center, Inc. Nurse Practitioner 990 S Madison St Ste 2, Tupelo, MS 38801 2018-07-11
1992234959 Pro Health Clinic,llc Nurse Practitioner 4127 W Main St, Tupelo, MS 38801-8129 2017-06-05
1053845610 Precious Montgomery Nurse Practitioner 173 Carr Vista Rd, Tupelo, MS 38801-8604 2017-04-20
1548709678 Jaime Summers Nurse Practitioner 2780 West Jackson St, Tupelo, MS 38801 2017-02-22
1528465424 Advanced Diabetes Management Center LLC Nurse Practitioner 449 Gloster Creek, Suite H-9, Tupelo, MS 38801-0000 2014-11-21
1699051508 Angela Sima Clegg Nurse Practitioner 942 Commonwealth Blvd, Tupelo, MS 38804-9762 2011-10-25
1427299213 Kathi Ann Hood Tomsky Nurse Practitioner 2071 S Green St, Tupelo, MS 38804-6512 2009-03-09
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Competitor

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City TUPELO
Zip Code 38801

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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