Individual
MRS. ALISSA NICHOLAS DAMIENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
230 WYETH LN, YAZOO CITY, MS 39194-4653
(662) 746-8962
(662) 746-8964
Mailing address
3328 MYRLEVILLE RD, YAZOO CITY, MS 39194-9530
(662) 571-2911
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
902276
MS
Other
Enumeration date
08/31/2017
Last updated
04/22/2020
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