Organization
CHILDRENS SPECIALTY CLINIC OF LAUREL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JESSICA MCKINNON PMHNP (OWNER)
(601) 498-5009
Entity
Organization
Contact information
Practice address
2110A SANDY LN, LAUREL, MS 39443-9087
(601) 498-5009
Mailing address
2110A SANDY LN, LAUREL, MS 39443-9087
(601) 498-5009
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
03/23/2022
Last updated
03/23/2022
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