Individual
MRS. JILLIAN M STRAYHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
8006 HIGHWAY 613, MOSS POINT, MS 39562-8200
(228) 475-1166
(228) 475-9337
Mailing address
4500 13TH ST, GULFPORT, MS 39501-2515
(228) 239-2296
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R876026
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04654891
—
MS
Enumeration date
01/15/2011
Last updated
07/22/2021
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