Individual
SHEMINA JOHNNICE RANSOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2500 N STATE ST, JACKSON, MS 39216-4500
(601) 984-5525
Mailing address
2500 N STATE ST, JACKSON, MS 39216-4500
(601) 815-5525
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
901983
MS
Other
Enumeration date
05/11/2018
Last updated
03/08/2021
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