Individual
SIERRA CAIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
562 LINE ST S STE 1, PHILADELPHIA, MS 39350-2144
(601) 504-6430
Mailing address
562 LINE ST S STE 1, PHILADELPHIA, MS 39350-2144
(601) 504-6430
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
902898
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01805219
—
MS
Enumeration date
11/30/2020
Last updated
03/11/2021
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