Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Marietta Family Clinic, Inc

Organization Family Nurse Practitioner · NPI 1922032812

Marietta Family Clinic, Inc provides Family Nurse Practitioner services in Marietta, 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

3 Cr 4050
Marietta, MS 38856
Phone: (662) 728-2408
Fax: (662) 728-2409
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence R853095 (MS)

Record details

NPI number1922032812
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Lori Harris — Owner · (662) 728-2408
NPI enumeratedJuly 10, 2006
Last updated in NPPESJuly 28, 2025
Certification dateJuly 28, 2025
Mailing addressPo Box 56, Marietta, MS 38856-0056

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