Individual
JERI S ENGLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
900 S COURT ST, ELLISVILLE, MS 39437-3901
(601) 477-4104
(601) 399-6254
Mailing address
PO BOX 607, LAUREL, MS 39441-0607
(601) 426-4000
(601) 399-6254
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
R519227
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00123473
—
MS
01
—
R519227
COMMERCIAL
MS
Enumeration date
02/08/2007
Last updated
07/09/2007
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