Individual
SIRNA MUSA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
3502 W NORTHSIDE DR, JACKSON, MS 39213-4454
(601) 362-5321
Mailing address
3502 W NORTHSIDE DR, JACKSON, MS 39213-4454
(601) 362-5321
(601) 364-5159
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
903045
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00452299
—
MS
Enumeration date
05/23/2018
Last updated
03/17/2020
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