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Individual

ANGELA K SKINNER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP

Contact information

Practice address
921 W BEACON ST, PHILADELPHIA, MS 39350-3229
(601) 656-6116
(601) 656-5445
Mailing address
921 W BEACON ST, PHILADELPHIA, MS 39350-3229
(601) 656-6116
(601) 656-5445

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R757852
MS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01521000
MS
Enumeration date
08/14/2007
Last updated
08/28/2012
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