Provider Demographics
NPI:1740359892
Name:CURRY, GENEVA (CFNP)
Entity type:Individual
Prefix:MS
First Name:GENEVA
Middle Name:
Last Name:CURRY
Suffix:
Gender:F
Credentials:CFNP
Other - Prefix:
Other - First Name:GENEVA
Other - Middle Name:
Other - Last Name:CURRY
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:CFNP
Mailing Address - Street 1:1504 HOSPITAL STREET
Mailing Address - Street 2:PREMIER MEDICAL CLINIC
Mailing Address - City:GREENVILLE
Mailing Address - State:MS
Mailing Address - Zip Code:38701
Mailing Address - Country:US
Mailing Address - Phone:662-378-9929
Mailing Address - Fax:662-378-9926
Practice Address - Street 1:1504 HOSPITAL STREET
Practice Address - Street 2:PREMIER MEDICAL CLINIC
Practice Address - City:GREENVILLE
Practice Address - State:MS
Practice Address - Zip Code:38701
Practice Address - Country:US
Practice Address - Phone:662-378-9929
Practice Address - Fax:662-378-9926
Is Sole Proprietor?:No
Enumeration Date:2006-11-06
Last Update Date:2013-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MSR730947363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
MSR730947LICENSEMedicaid
MS00124472Medicaid
MSP40404Medicare UPIN
P40404Medicare UPIN
MSR730947LICENSEMedicaid