Individual
JANA R KEITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
W.H.N.P.
Contact information
Practice address
551 EAGLE DAY AVE, COLUMBIA, MS 39429-3605
(601) 736-6137
(601) 731-1383
Mailing address
551 EAGLE DAY AVE, COLUMBIA, MS 39429-3605
(601) 736-6137
(601) 731-1383
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
R606456
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00118930
—
MS
Enumeration date
02/07/2006
Last updated
02/05/2008
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