Individual
JENICE COMBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
1935 LAKELAND DR STE 900, JACKSON, MS 39216-5028
(601) 589-9774
Mailing address
1935 LAKELAND DR STE 900, JACKSON, MS 39216-5028
(601) 589-9774
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
261QM2800X
MS
Other
Enumeration date
05/17/2023
Last updated
05/17/2023
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