Individual
MS. KRISTAIN JERAE COKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2500 N STATE ST, JACKSON, MS 39216-4500
(601) 984-6028
Mailing address
929 DR. D.B. TODD JR. BLVD, NASHVILLE, TN 37208
(404) 935-3152
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
06/06/2019
Last updated
06/06/2019
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