Individual
MRS. JENNIFER REEDER MASCAGNI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
C.F.N.P.
Contact information
Practice address
4210 LINCOLN RD, HATTIESBURG, MS 39402-3093
(601) 261-3500
(601) 579-5240
Mailing address
415 S 28TH AVE, HATTIESBURG, MS 39401-7246
(601) 261-3500
(601) 579-5240
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
863841
MS
363LF0000X
Family Nurse Practitioner
R863841
MS
363LF0000X
Family Nurse Practitioner
RN109495 APO4933
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
09025802
—
MS
Enumeration date
10/27/2006
Last updated
08/26/2022
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