Individual
MRS. JESSICA GAIL PRATHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, FNP-C
Contact information
Practice address
28301 HIGHWAY 15, WALNUT, MS 38683-9753
(662) 223-0063
Mailing address
737 COUNTY ROAD 750, CORINTH, MS 38834-7303
(731) 609-3741
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
903167
MS
Other
Enumeration date
02/04/2019
Last updated
02/04/2019
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