Individual
MALAYSHA ERVIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4780 I-55 N FRONTAGE RD, STE 105, JACKSON, MS 39211
(601) 956-4816
(601) 956-4817
Mailing address
4780 I-55 N FRONTAGE RD, STE 105, JACKSON, MS 39211
(601) 956-4816
(601) 956-4817
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
MS
Other
Enumeration date
08/05/2026
Last updated
08/05/2026
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