Individual
JESSICA ROSS PRIDDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
912 SUMRALL RD, COLUMBIA, MS 39429-2652
(601) 736-6443
(601) 736-2543
Mailing address
912 SUMRALL RD, COLUMBIA, MS 39429-2652
(601) 736-6443
(601) 736-2543
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
R875117
MS
Other
Enumeration date
03/14/2013
Last updated
03/14/2013
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