Individual
ANGELA MCALLISTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2500 NORTH STATE STREET, JACKSON, MS 39216-4500
(601) 984-5615
(601) 984-5689
Mailing address
2500 NORTH STATE STREET, JACKSON, MS 39216-4500
(601) 984-5615
(601) 984-5689
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
901477
MS
363LF0000X
Family Nurse Practitioner
APRN001859
NV
Other
Enumeration date
12/11/2014
Last updated
09/01/2016
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