Individual
MRS. ANGELIA YVONNE NELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
749 BALDWIN LOOP NW, BROOKHAVEN, MS 39601
(601) 757-3497
Mailing address
749 BALDWIN LOOP NW, BROOKHAVEN, MS 39601
(601) 757-3497
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
P324238
MS
Other
Enumeration date
01/27/2022
Last updated
01/27/2022
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