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ALICIA DANIELLE WAITS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP-C

Contact information

Practice address
1020 RIVER OAKS DR, SUITE 420, JACKSON, MS 39232-9500
(601) 939-4198
(601) 939-4120
Mailing address
1020 RIVER OAKS DR, SUITE 420, JACKSON, MS 39232-9500
(601) 939-4198
(601) 939-4120

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
R855057
MS

Other

Enumeration date
07/15/2009
Last updated
07/15/2009
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