Individual
MS. JERMELLODY CHRISTIAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
15120 POST MILL CT, DIBERVILLE, MS 39540-5602
(662) 822-6909
Mailing address
15120 POST MILL CT, DIBERVILLE, MS 39540-5602
(662) 822-6909
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
202077
MS
Other
Enumeration date
05/04/2026
Last updated
05/04/2026
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