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1033844204
EBONY HUMPHERY
JACKSON, MS
NPI
1033844204
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP0808X Nurse Practitioner Psychiatric/Mental Health
(Licence: MS 905452)
Enumeration Date
2022-07-20
Last Update Date
2023-03-13
Business Address
MRS. EBONY HUMPHERY PMHNP-BC
3450 HIGHWAY 80 W
JACKSON, MS 39209-7201
Phone number: 601-321-2400
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Mailing Address
MRS. EBONY HUMPHERY PMHNP-BC
3450 HIGHWAY 80 W
JACKSON, MS 39209-7201
Phone number: 601-321-2400
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