Individual
NAKISHA FEASTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
860 E RIVER PL, JACKSON, MS 39202-3442
(769) 251-5550
Mailing address
11 MORNING GLORY DR, CARRIERE, MS 39426-7142
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
8424
TN
Other
Enumeration date
05/28/2019
Last updated
05/28/2019
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