Individual
DONNA CAROL RICOTTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1850 CHADWICK DR, JACKSON, MS 39204-3404
(601) 376-2945
Mailing address
1850 CHADWICK DR, JACKSON, MS 39204-3404
(601) 376-2945
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
905784
MS
Other
Enumeration date
02/10/2023
Last updated
03/28/2023
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