Individual
SHANIKA GRIFFIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
554 OAK RIDGE WAY, PEARL, MS 39208-8077
(601) 918-3680
Mailing address
554 OAK RIDGE WAY, PEARL, MS 39208-8077
(601) 918-3680
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
1144247
AL
163W00000X
Registered Nurse
Primary
R877992
MS
Other
Enumeration date
08/22/2014
Last updated
08/22/2014
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