Individual
MICHAELA NOWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4910 I 55 N, JACKSON, MS 39211-5401
(601) 366-6554
Mailing address
1228 CUTTER LN, BRANDON, MS 39047-2302
(601) 689-0024
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
E-100840
MS
Other
Enumeration date
09/21/2022
Last updated
05/18/2026
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