Provider Demographics
NPI:1457504730
Name:COX, SUZANNE (CFNP-BC)
Entity Type:Individual
Prefix:
First Name:SUZANNE
Middle Name:
Last Name:COX
Suffix:
Gender:F
Credentials:CFNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:823 HIGHWAY 589
Mailing Address - Street 2:
Mailing Address - City:PURVIS
Mailing Address - State:MS
Mailing Address - Zip Code:39475-4194
Mailing Address - Country:US
Mailing Address - Phone:601-794-0100
Mailing Address - Fax:601-794-0130
Practice Address - Street 1:823 HIGHWAY 589
Practice Address - Street 2:
Practice Address - City:PURVIS
Practice Address - State:MS
Practice Address - Zip Code:39475-4194
Practice Address - Country:US
Practice Address - Phone:601-794-0100
Practice Address - Fax:601-794-0130
Is Sole Proprietor?:No
Enumeration Date:2008-10-30
Last Update Date:2008-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MSR804851363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily