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Individual

MRS. KRISTIN LEE SCOGGINS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP-BC

Contact information

Practice address
501 MARSHALL ST STE 200, JACKSON, MS 39202-1687
(601) 914-9503
(601) 371-3775
Mailing address
501 MARSHALL ST STE 200, JACKSON, MS 39202-1687
(601) 914-9503
(601) 371-3775

Taxonomy

Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
906470
MS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
003081551
MS
Enumeration date
01/29/2024
Last updated
01/29/2024
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