Individual
JAMIE LEIGH VANDERFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1213 MARIA LN, IUKA, MS 38852-1135
(662) 423-3332
(662) 423-3331
Mailing address
PO BOX 839, CORINTH, MS 38835-0839
(662) 286-9883
(662) 284-9836
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R891448
MS
Other
Enumeration date
06/20/2013
Last updated
06/20/2013
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