Individual
MR. RYAN FRED ALEX ZUBER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PMHNP-BC
Contact information
Practice address
1500 E WOODROW WILSON AVE, JACKSON, MS 39216-5116
(601) 362-4471
(601) 368-3904
Mailing address
814 ASCHAM CT., HENDERSON ROAD, PEARL, MS 39208-9361
(601) 966-1977
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
903437
MS
Other
Enumeration date
09/17/2019
Last updated
09/06/2023
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