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Individual

MRS. JAMIE LEE MORALES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
AGNP-C

Contact information

Practice address
4381 S EASON BLVD STE 301, TUPELO, MS 38801-6584
(662) 377-3008
Mailing address
1230 CLAYTON AVE, TUPELO, MS 38804-1825

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
906304
MS

Other

Enumeration date
02/15/2022
Last updated
12/05/2023
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