Individual
SHANIQUA STRONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1475 HADORN RD APT 29, BATESVILLE, MS 38606-5441
(662) 934-4534
Mailing address
PO BOX 88, COURTLAND, MS 38620-0088
(662) 934-4534
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
913498
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
913498
NURSING LICENSE NUMBER
MS
Enumeration date
11/19/2020
Last updated
11/19/2020
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