Individual
JENNIFER KISNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
680 HIGHWAY 51 STE L, RIDGELAND, MS 39157-2103
(228) 669-8823
Mailing address
680 HIGHWAY 51 STE L, RIDGELAND, MS 39157-2103
(228) 669-8823
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
904794
MS
363L00000X
Nurse Practitioner
904794
MS
363LA2100X
Acute Care Nurse Practitioner
904794
MS
363LF0000X
Family Nurse Practitioner
Primary
904794
MS
Other
Enumeration date
09/16/2021
Last updated
04/26/2026
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