Individual
RHONDA RICHARDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1203 JEFFERSON ST, LAUREL, MS 39440-4354
(601) 649-2863
(601) 649-9479
Mailing address
1203 JEFFERSON ST, LAUREL, MS 39440-4354
(601) 649-2863
(601) 649-9479
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
R783521
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02203270
—
MS
Enumeration date
08/13/2006
Last updated
07/08/2007
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