Individual
SHAMEKKA NICOLETTE SKINNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1668 W PEACE ST, CANTON, MS 39046-5332
(601) 859-5213
Mailing address
62 THURMOND RD, LEXINGTON, MS 39095-6842
(601) 826-8885
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0000
MS
Other
Enumeration date
09/23/2024
Last updated
09/23/2024
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