Individual
MRS. SHANNA A JIMERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
1720A MEDICAL PARK DR STE 210, BILOXI, MS 39532-2122
(228) 230-2663
Mailing address
6300 E LAKE BLVD STE 301, VANCLEAVE, MS 39565-6771
(228) 203-2663
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
PT3331
AR
225100000X
Physical Therapist
Primary
PT6112
MS
225100000X
Physical Therapist
PTH6346
AL
Other
Enumeration date
02/11/2011
Last updated
12/19/2024
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