Individual
MRS. NINA NICOLE MAYO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2500 N STATE ST, JACKSON, MS 39216-4500
(601) 815-8150
Mailing address
125 E SUNSET DR, BRANDON, MS 39042-3619
(601) 941-7107
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R872778
MS
Other
Enumeration date
01/15/2011
Last updated
06/19/2012
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