Individual
MRS. JENNIFER LEIGH MCMINN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
3 REIDS AVE, POTTS CAMP, MS 38659-8298
(662) 333-4333
Mailing address
PO BOX 88, POTTS CAMP, MS 38659-0088
(662) 333-4333
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R861080
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
06879334
—
MS
Enumeration date
04/04/2006
Last updated
01/03/2023
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