Individual
ERIN KIJONKA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
4500 13TH ST, GULFPORT, MS 39501-2515
(228) 867-4396
(228) 865-3152
Mailing address
4500 13TH ST, GULFPORT, MS 39501-2515
(228) 867-4396
(228) 865-3152
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
901578
MS
Other
Enumeration date
06/21/2016
Last updated
06/21/2016
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