Individual
JACKIE KAPAUN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
506 SPRINGHILL XING, BRANDON, MS 39047-5019
(601) 201-9131
Mailing address
506 SPRINGHILL XING, BRANDON, MS 39047-5019
(601) 201-9131
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R547174
MS
Other
Enumeration date
01/21/2021
Last updated
01/21/2021
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