Individual
MRS. MIRANDA MICHELLE SHEGOG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
149 OLD MOUND BAYOU RD, MOUND BAYOU, MS 38762-9591
(662) 741-2151
Mailing address
149 OLD MOUND BAYOU RD, MOUND BAYOU, MS 38762-9591
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R865569
MS
Other
Enumeration date
07/20/2011
Last updated
05/14/2013
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