Individual
KWANZA AYANNA PRICE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSN, RN, PMHNP-BC
Contact information
Practice address
5820 SEDGWICK DR, JACKSON, MS 39211-3448
(601) 832-5261
(601) 952-0191
Mailing address
5820 SEDGWICK DR, JACKSON, MS 39211-3448
(601) 832-5261
(601) 952-0191
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
892403
MS
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
901675
MS
Other
Enumeration date
01/25/2016
Last updated
11/29/2021
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