Individual
MRS. MIRIAM JEANETTE SAIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP
Contact information
Practice address
2500 N STATE ST, JACKSON, MS 39216-4500
(601) 984-5236
Mailing address
2500 N STATE ST, JACKSON, MS 39216-4500
(601) 984-5236
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
R528838
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00119997
—
MS
Enumeration date
07/04/2006
Last updated
07/09/2007
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