Individual
JENNY KATHERINE FARRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
1310 HIGHWAY 25, TISHOMINGO, MS 38873-8735
(662) 471-9416
Mailing address
1310 HIGHWAY 25, TISHOMINGO, MS 38873
(662) 471-9416
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
905759
MS
Other
Enumeration date
01/18/2023
Last updated
08/28/2024
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