Individual
JACQUELYN ROXANE AINSWORTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
109 EUREKA ST STE B, BATESVILLE, MS 38606-2534
(662) 712-6144
(662) 712-6237
Mailing address
109 EUREKA ST STE B, BATESVILLE, MS 38606-2534
(662) 712-6144
(662) 712-6237
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
901590
MS
Other
Enumeration date
07/01/2016
Last updated
07/09/2024
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