Individual
SHELIA DENISE MICKLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGNP-C
Contact information
Practice address
180B DEBUYS RD, BILOXI, MS 39531-4404
(228) 806-7030
Mailing address
PO BOX 4594, BILOXI, MS 39535-4594
(228) 273-4096
(228) 594-1765
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
905395
MS
Other
Enumeration date
09/15/2022
Last updated
11/11/2022
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