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SANDRA JANELL SPIERS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
117 N MAIN ST STE B, PICAYUNE, MS 39466-3936
(769) 242-0896
(769) 242-0896
Mailing address
107 WOODMONT DR, PICAYUNE, MS 39466-7658
(601) 347-3029

Taxonomy

Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
363L00000X
Nurse Practitioner
Primary
R836775
MS
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
AP06825
LA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
R836775
MS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
04778509
MS
05
1107468
LA
01
2831390
UHC
01
P00816371
RAILROAD MEDICARE
MS
Enumeration date
07/24/2007
Last updated
03/02/2023
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