Individual
JAMIE AGENT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
2124 14TH ST, MERIDIAN, MS 39301-4040
(601) 553-6000
Mailing address
819 HIGHWAY 19 N, COLLINSVILLE, MS 39325-9614
(601) 504-5025
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
903265
MS
Other
Enumeration date
09/06/2019
Last updated
09/06/2019
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