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Individual

MRS. MARIANNA RILEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP-C

Contact information

Practice address
2500 N STATE ST, JACKSON, MS 39216-4500
(601) 506-6641
Mailing address
117 INDIAN SUMMER LN, CLINTON, MS 39056-4153
(601) 506-6641

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
902493
MS

Other

Enumeration date
08/06/2018
Last updated
10/12/2018
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