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Individual

JACQUELINE SUSZAN WARE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP

Contact information

Practice address
2901 HIGHWAY 82 E, GREENWOOD, MS 38930-2960
(662) 374-2135
(662) 374-2195
Mailing address
2901 HIGHWAY 82 E, GREENWOOD, MS 38930-2960
(662) 374-2135
(601) 374-2195

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R853566
MS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
08327741
MS
01
P01044475
RAILROAD MEDICARE
MS
Enumeration date
10/04/2010
Last updated
08/07/2024
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