Individual
SCHELERIA BANKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
113 GREENFIELD WAY, MADISON, MS 39110-8108
(601) 955-2596
Mailing address
113 GREENFIELD WAY, MADISON, MS 39110-8108
(601) 955-2596
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R882851
MS
251J00000X
Nursing Care Agency
—
—
Other
Enumeration date
12/17/2012
Last updated
12/17/2012
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