Individual
JENNIFER R MASSEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNNP
Contact information
Practice address
6049 U S HIGHWAY 49, HATTIESBURG, MS 39402-2555
(601) 288-3440
Mailing address
81 RED MAPLE TRL, PETAL, MS 39465-4430
(601) 466-6469
Taxonomy
Speciality
Code
Description
License number
State
363LN0005X
Critical Care Neonatal Nurse Practitioner
Primary
R872528
MS
Other
Enumeration date
02/23/2009
Last updated
02/23/2009
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