Most Relevant Information
Provider Data
| NPI Number: | 1003449398 |
| Provider Name: | NATHANIEL LEVI BUMP FNP-C |
| Entity Type: | Individual |
| Taxonomy Code: | 363L00000X |
| Specialty: | Nurse Practitioner |
| License Number: | 27228 |
Most Important Dates
| Enumeration Date: | 02/15/2020 |
| Last Updated: | 10/29/2024 |
Provider Practice Location
7900 AIRWAYS BLVD STE 6
SOUTHAVEN
MS
386714113
Practice Location Phone/Fax
| Phone: | 6624707549 |
| Fax: | 2699062006 |
Provider Mailing Location
7900 AIRWAYS BLVD STE 6
SOUTHAVEN
MS
386714113
Provider Mailing Phone/Fax
| Phone: | 6624707549 |
| Fax: | 2699062006 |