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Merissa Pryor

NPI 1578057220 · on the registry since 2018 · sole proprietor

Practice

Address
384 Goodman Rd E # 133
Southaven, MS 38671
Phone
(217) 816-6341

Registry record

Primary taxonomy
1041C0700X
1041C0700X
Also registered as
1041C0700X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2026-01-16

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Mississippi