Organization
GAYLE P HARRELL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GAYLE HARRELL (OWNER)
(601) 672-9116
Entity
Organization
Contact information
Practice address
1190 N STATE ST, SUITE LL01, JACKSON, MS 39202-2413
(601) 968-1000
(601) 944-9780
Mailing address
1190 N STATE ST, SUITE LL01, JACKSON, MS 39202-2413
(601) 968-1000
(601) 944-9780
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
F0803026
MS
Other
Enumeration date
08/04/2009
Last updated
12/07/2022
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