Individual
NANCY E ANKLAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2500 N STATE ST, DEPARTMENT OF ORTHOPEDIC SURGERY, JACKSON, MS 39216-4500
(601) 984-6525
(601) 984-5151
Mailing address
2500 N STATE ST, DEPARTMENT OF ORTHOPEDIC SURGERY, JACKSON, MS 39216-4500
(601) 984-6525
(601) 984-5151
Taxonomy
Speciality
Code
Description
License number
State
163WR0006X
Registered Nurse First Assistant
Primary
R638234
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9011521
—
MS
Enumeration date
02/12/2007
Last updated
12/12/2007
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