Individual
MONIFA CHYENN JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
HNT/SNT
Contact information
Practice address
2700 25TH AVE, GULFPORT, MS 39501
(228) 222-7338
Mailing address
2700 25TH AVE SUITE B, GULFPORT, MS 39503
(228) 222-7338
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
08/04/2025
Last updated
08/04/2025
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