Individual
JOSHUA RYAN SABINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
AGACNP
Contact information
Practice address
2500 N STATE ST, JACKSON, MS 39216-4500
(601) 984-1000
Mailing address
2500 N STATE ST, JACKSON, MS 39216-4500
(601) 984-1000
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
R878939
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
06026855
—
MS
Enumeration date
05/17/2015
Last updated
12/01/2015
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