Individual
RUTH ANN POWE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4780 I 55 N STE 100, JACKSON, MS 39211-5583
(888) 299-1330
Mailing address
18 PINE RIDGE CIR, PURVIS, MS 39475-3667
(601) 596-7772
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
904593
MS
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
09/13/2020
Last updated
08/24/2023
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