Individual
MS. KRISTI JACKLYN LOVE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4744 W E ROSS PKWY, BLD 48 APT 103, SOUTHAVEN, MS 38671
(901) 581-8644
Mailing address
4780 I 55 N STE 110-110, JACKSON, MS 39211-5542
(901) 581-8644
Taxonomy
Speciality
Code
Description
License number
State
246RP1900X
Phlebotomy Technician
Primary
720353
MS
Other
Enumeration date
08/27/2025
Last updated
08/27/2025
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