Individual
NEKESHA JOHNNYETTE GORDON CROWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5205 BROOKINS RD, MERIDIAN, MS 39307-9581
(601) 934-0071
Mailing address
PO BOX 7230, MERIDIAN, MS 39304-7230
(601) 934-0071
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
09/28/2021
Last updated
09/28/2021
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