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Individual

ANNISHA JONES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
316 KIRKWOOD DR, CLINTON, MS 39056-5882
(601) 500-0548
Mailing address
316 KIRKWOOD DR, CLINTON, MS 39056-5882
(601) 500-0548

Taxonomy

Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
903862
MS

Other

Enumeration date
09/10/2019
Last updated
08/29/2022
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