Individual
RUBY ELLIS DENSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1500 EAST WOODROW WILSON DRIVE, JACKSON, MS 39216-5199
(601) 362-4471
(601) 368-3802
Mailing address
313 PINE RIDGE ROAD, JACKSON, MS 38206
(601) 981-7626
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R677167
MS
Other
Enumeration date
09/20/2006
Last updated
07/08/2007
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