Individual
SHAWANDA MCQUARTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
5345 HIGHWAY 18 W, JACKSON, MS 39209-9421
(601) 927-0188
Mailing address
PO BOX 2305, CLINTON, MS 39060-2305
(601) 927-0188
(601) 292-7998
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
314750
MS
Other
Enumeration date
08/19/2024
Last updated
08/19/2024
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