Individual
SONYA NEWSOME
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
AGNP-C
Contact information
Practice address
2500 N STATE ST, JACKSON, MS 39216-4500
(601) 815-2869
Mailing address
2500 N STATE ST, JACKSON, MS 39216-4500
(601) 815-2873
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
903650
MS
Other
Enumeration date
02/16/2023
Last updated
02/16/2023
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