Individual
MS. RHODA LYNN JUZANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
180 DEBUYS RD, BILOXI, MS 39531-4402
(228) 273-4096
(228) 594-1765
Mailing address
PO BOX 4594, BILOXI, MS 39535-4594
(228) 273-4096
(228) 594-1765
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R870754
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
08755026
—
MS
01
—
12671825
CAQH
MS
01
—
358702YUPL
MS MEDICARE
MS
01
—
4864514
MAILHANDLERS
MS
01
—
5198833
AETNA
MS
01
—
P01861916
MEDICARE RR
MS
Enumeration date
09/22/2006
Last updated
01/06/2020
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