Individual
SHERRY S GLEASON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2510 LAKELAND DR, FLOWOOD, MS 39232-9513
(601) 355-1234
(601) 326-3559
Mailing address
2510 LAKELAND DR, FLOWOOD, MS 39232-9513
(601) 355-1234
(601) 326-3559
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R805937
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
09370254
—
MS
Enumeration date
02/20/2007
Last updated
09/26/2017
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