Individual
JESSICA MAFFETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
12 BROOKES XING, PONTOTOC, MS 38863-1009
(662) 489-4044
Mailing address
PO BOX 2889, TUPELO, MS 38803-2889
(662) 297-4489
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
901800
MS
Other
Enumeration date
10/05/2016
Last updated
10/05/2016
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