Individual
REAGAN SELLERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1514 23RD AVE, MERIDIAN, MS 39301-4026
(601) 531-3969
Mailing address
PO BOX 223, MACON, MS 39341-0223
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
908334
MS
Other
Enumeration date
04/09/2026
Last updated
05/11/2026
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