Individual
NAZNEEN SHAKEEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2500 N STATE ST, JACKSON, MS 39216-4500
(601) 815-1362
Mailing address
702 TANGLEWOOD DR, MADISON, MS 39110-7291
(601) 715-5008
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
857-L
MS
Other
Enumeration date
07/12/2012
Last updated
07/12/2012
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