Organization
ESSENCE NURSE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAKISHA GIBSON RN (OWNER)
(601) 934-9629
Entity
Organization
Contact information
Practice address
590 HIGHWAY 18 W, QUITMAN, MS 39355-8739
(601) 934-9629
Mailing address
590 HIGHWAY 18 W, QUITMAN, MS 39355-8739
(601) 934-9629
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
01/15/2022
Last updated
01/15/2022
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