Individual
JOANTE KIRK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1699 S MAIN ST, GREENVILLE, MS 38701-7364
(662) 394-5659
Mailing address
PO BOX 4435, GREENVILLE, MS 38704-4435
(662) 394-5659
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
903843
MS
Other
Enumeration date
02/12/2020
Last updated
02/12/2020
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