Individual
CASEY SHOWS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGACNP
Contact information
Practice address
1225 N STATE ST, JACKSON, MS 39202-2064
(601) 968-1000
Mailing address
110 WAYNES PL, MENDENHALL, MS 39114-8939
(601) 954-6756
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
902300
MS
Other
Enumeration date
09/17/2017
Last updated
09/17/2017
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