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Individual

NIKISHA NEWSOM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP

Contact information

Practice address
12 BRUNSWICK ST, BYHALIA, MS 38611-7000
(662) 838-2163
Mailing address
PO BOX 698, BYHALIA, MS 38611-0698

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
901921
MS

Other

Enumeration date
06/06/2017
Last updated
06/06/2017
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