Individual
JESSICA NECAISE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
2274 HIGHWAY 43 S, PICAYUNE, MS 39466-8141
(601) 798-5798
Mailing address
2274 HIGHWAY 43 S, PICAYUNE, MS 39466-8141
(601) 798-5798
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
902756
MS
Other
Enumeration date
07/07/2018
Last updated
07/07/2018
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