Individual
SONYA VERSIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
4883 ARROWHEAD LN, OLIVE BRANCH, MS 38654-6099
(901) 619-9453
(888) 503-3559
Mailing address
4883 ARROWHEAD LN, OLIVE BRANCH, MS 38654-6099
(901) 619-9453
(888) 503-3559
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
896461
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
896461
STATE BOARD OF NURSING
MS
Enumeration date
12/28/2020
Last updated
12/28/2020
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