Individual
JENA HERRINGTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1 MEDICAL LN, FOREST, MS 39074-4039
(601) 469-3320
Mailing address
PO BOX D, FOREST, MS 39074-0558
(601) 469-4151
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
906909
MS
Other
Enumeration date
10/03/2024
Last updated
10/03/2024
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