Individual
KYSHA SALEEM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
778 LIBERTY RD, FLOWOOD, MS 39232-9300
(769) 243-6141
Mailing address
778 LIBERTY RD, FLOWOOD, MS 39232-9300
(769) 243-6141
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
18873
TN
363LF0000X
Family Nurse Practitioner
R850812
MS
Other
Enumeration date
06/06/2014
Last updated
02/02/2024
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