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NPI 1659968360

IndividualActive

Irene Brock, REGISTERED NURSE

NPI 1659968360 · Hemodialysis Registered Nurse · Lucedale, MS

Provider details

NPI number: 1659968360
Entity type: Individual
Primary specialty: Hemodialysis Registered NurseNursing Service Providers
Credential: REGISTERED NURSE
Sex: Female
Sole proprietor: Yes
License: R850912 (MS)

Practice location

137 Brock Rd

Lucedale, MS 39452-4665

Phone: (601) 508-3435

More MS providers

Mailing address

137 Brock Rd

Lucedale, MS 39452-4665

Registry dates

Enumerated: 2020-12-29
Last updated: 2020-12-29

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Irene Brock, REGISTERED NURSE — NPI 1659968360, Lucedale, MS | NPI Central