Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Gloster North Family Medical Clinic Inc

Organization Nurse Practitioner · NPI 1356415244

Gloster North Family Medical Clinic Inc is a Nurse Practitioner in Tupelo, Mississippi. Licensed in Mississippi. Registered with an NPI since 2006.

Licensed in
MS
In the registry since
2006
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1714 N Gloster St
Tupelo, MS 38804-1216
Phone: (662) 841-5086
Fax: (662) 841-5088
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence R866369 (MS)

Record details

NPI number1356415244
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mary Mason — Owner · (662) 841-5086
NPI enumeratedNovember 20, 2006
Last updated in NPPESAugust 22, 2020
Mailing address1714 N Gloster St, Tupelo, MS 38804-1216

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