Individual
DENESIA GIFFIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1901 MISSION 66, VICKSBURG, MS 39180-3711
(601) 636-1050
Mailing address
1901 MISSION 66, VICKSBURG, MS 39180-3711
(601) 636-0097
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
R748148
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
07671867
—
MS
05
—
1036374
—
LA
Enumeration date
06/29/2006
Last updated
10/31/2019
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