Individual
BATH'SHEBA NICOLE BADON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
590 SPRINGRIDGE RD, CLINTON, MS 39056-5606
(601) 488-8101
Mailing address
1008 WALLACE RD, MCCOMB, MS 39648-8750
(601) 395-6835
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
904669
MS
Other
Enumeration date
07/12/2021
Last updated
07/12/2021
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