Individual
MRS. SUSAN OWENS ROJAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
3661 SANGANI BLVD SUITE E, DIBERVILLE, MS 39540
(228) 354-0022
(228) 354-0088
Mailing address
3661 SANGANI BLVD SUITE E, DIBERVILLE, MS 39540
(228) 354-0022
(228) 354-0088
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
905578
MS
363LF0000X
Family Nurse Practitioner
905578
MS
Other
Enumeration date
10/12/2022
Last updated
08/15/2023
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