Individual
KEOSHA ROCHELLE RANSOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
REGISTERED NURSE
Contact information
Practice address
1500 E WOODROW WILSON AVE, JACKSON, MS 39216-5116
(601) 362-4471
Mailing address
1500 E WOODROW WILSON AVE, JACKSON, MS 39216-5116
(601) 362-4471
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R891582
MS
Other
Enumeration date
12/04/2012
Last updated
12/04/2012
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