Individual
JACKLEN HARPER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
171 DOGWOOD CIR, BRANDON, MS 39047-6641
(601) 813-1045
(601) 398-3911
Mailing address
171 DOGWOOD CIR, BRANDON, MS 39047-6641
(601) 813-1045
(601) 398-3911
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
Primary
—
—
Other
Enumeration date
05/03/2016
Last updated
05/03/2016
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