Individual
SHEDRIEKA MAYE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5001 HARDY ST, HATTIESBURG, MS 39402-1308
(601) 268-8029
(601) 268-8394
Mailing address
5001 HARDY ST, HATTIESBURG, MS 39402-1308
(601) 288-8029
(601) 268-8394
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
905213
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2021231404
AACC
MS
01
—
905213
LICENSE VERIFICATION
MS
Enumeration date
03/02/2022
Last updated
03/02/2022
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