Individual
JERRIETTA MARIAH EMERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10026 LIZELIA RD, MERIDIAN, MS 39305-9595
(601) 917-8897
Mailing address
10026 LIZELIA RD, MERIDIAN, MS 39305-9595
(601) 917-8897
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
930579
MS
Other
Enumeration date
01/14/2026
Last updated
01/14/2026
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