Individual
CHRISTINA MARIE SHIELDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP-AC/PC
Contact information
Practice address
2507A OLD BRANDON RD, PEARL, MS 39208-4604
(601) 531-8020
(601) 345-2124
Mailing address
2507A OLD BRANDON RD, PEARL, MS 39208-4604
(601) 531-8020
(601) 345-2124
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
904172
MS
Other
Enumeration date
08/19/2021
Last updated
10/14/2021
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