Individual
KACEY JONES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1806 SIMPSON HIGHWAY 49, MAGEE, MS 39111
(601) 439-1420
Mailing address
1806 SIMPSON HIGHWAY 49, MAGEE, MS 39111-5391
(601) 498-5010
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
891900
MS
363L00000X
Nurse Practitioner
Primary
903354
MS
Other
Enumeration date
04/17/2019
Last updated
11/11/2019
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