Individual
JENNIFER ROSE PIERCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CFNP
Contact information
Practice address
12B NATCHEZ ST, TISHOMINGO, MS 38873
(662) 438-7474
(662) 438-7760
Mailing address
PO BOX 400, TISHOMINGO, MS 38873-0400
(662) 438-7474
(662) 438-7760
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R850102
MS
Other
Enumeration date
11/15/2005
Last updated
07/05/2011
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