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Individual

NAKESIA ELLIS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MSN, PMHNP-BC

Contact information

Practice address
2969 CURRAN DR N, JACKSON, MS 39216-4121
(601) 200-3100
(601) 200-8846
Mailing address
1935 LAKELAND DR STE 900, JACKSON, MS 39216-5028
(601) 718-2468

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
904456
MS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
05323277
MS
Enumeration date
02/12/2021
Last updated
02/03/2026
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