Individual
MONICA ALFORD AYCOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNNP
Contact information
Practice address
2500 N STATE ST, JACKSON, MS 39216-4500
(601) 984-5260
Mailing address
2500 N STATE ST, JACKSON, MS 39216-4500
(601) 984-5260
Taxonomy
Speciality
Code
Description
License number
State
363LN0000X
Neonatal Nurse Practitioner
Primary
R748861
MS
Other
Enumeration date
09/11/2007
Last updated
07/02/2012
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