Individual
JESSICA RICHARDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
604 S MAIN ST, WATER VALLEY, MS 38965-3468
(662) 473-1311
(662) 473-4191
Mailing address
604 S MAIN ST, WATER VALLEY, MS 38965-3468
(662) 473-1311
(662) 473-4191
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R881515
MS
Other
Enumeration date
07/17/2014
Last updated
04/07/2025
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