Individual
MICAH BROOKE AKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, FNP-C, ENP-C
Contact information
Practice address
517 CITY AVE S, RIPLEY, MS 38663-2517
(662) 587-8206
Mailing address
PO BOX 265, MYRTLE, MS 38650-0265
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R888296
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
08204334
—
MS
Enumeration date
12/16/2014
Last updated
08/08/2024
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