Individual
MARY JO ANN ALISON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP- C
Contact information
Practice address
1001 N HALSTEAD RD STE B, OCEAN SPRINGS, MS 39564-3121
(228) 818-0416
Mailing address
15250 HIGHWAY 603, KILN, MS 39556-8126
(228) 297-5203
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
R876642
MS
Other
Enumeration date
01/26/2019
Last updated
01/26/2019
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