Individual
MRS. SALLYE ANN MILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PNP
Contact information
Practice address
9431 EASTSIDE DRIVE EXT STE E, NEWTON, MS 39345-8072
(601) 635-3435
Mailing address
203 GORDON ST, UNION, MS 39365-2121
(601) 745-6244
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
R869919
MS
Other
Enumeration date
11/23/2009
Last updated
11/14/2023
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