Individual
SHANNON FLOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
715 RICE RD APT 13A, RIDGELAND, MS 39157-3009
(662) 907-6241
Mailing address
715 RICE RD APT 13A, RIDGELAND, MS 39157-3009
(662) 907-6241
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
903248
MS
Other
Enumeration date
06/18/2019
Last updated
06/18/2019
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