Individual
PRISCILLA ELIZABETH PULLIAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
1030 RIVER OAKS DR, JACKSON, MS 39232-9553
(601) 924-3719
Mailing address
2500 NORTH STATE STREET, JMM ROOM 2525, JACKSON, MS 39216-4500
(601) 984-6426
(601) 984-6439
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
865613
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
07338051
—
MS
Enumeration date
05/05/2006
Last updated
05/23/2023
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