Individual
MRS. JESSICA FAYE SKINNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
351 PEOPLES DR, PONTOTOC, MS 38863-8990
(601) 438-2678
Mailing address
1834 PARKER ROBERSON RD, MABEN, MS 39750-8923
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
904546
MS
Other
Enumeration date
09/17/2021
Last updated
10/02/2024
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