Individual
MRS. ANNA MARIE KETCHUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RNP
Contact information
Practice address
971 LAKELAND DRIVE, STE 1052, JACKSON, MS 39216
(601) 981-9503
(601) 981-7895
Mailing address
971 LAKELAND DRIVE, STE 1052, JACKSON, MS 39216
(601) 981-9503
(601) 981-7895
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R883090
MS
Other
Enumeration date
06/23/2015
Last updated
06/23/2015
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