Individual
EMILY GORDON SKELTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
1325 E FORTIFICATION ST, JACKSON, MS 39202-2442
(601) 354-4488
Mailing address
1325 E FORTIFICATION ST, JACKSON, MS 39202-2442
(601) 354-4488
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
R886220
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009013483
—
MS
Enumeration date
08/04/2015
Last updated
07/10/2024
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