Individual
JESSICA MIKELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
778 LIBERTY RD, FLOWOOD, MS 39232-9321
(769) 243-6141
Mailing address
778 LIBERTY RD, FLOWOOD, MS 39232-9321
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
905495
MS
Other
Enumeration date
10/03/2022
Last updated
10/03/2022
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