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1063005874
NAKESIA ELLIS
JACKSON, MS
NPI
1063005874
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: MS 904456)
Enumeration Date
2021-02-12
Last Update Date
2022-09-09
Business Address
NAKESIA ELLIS MSN, PMHNP-BC
2969 CURRAN DR N
JACKSON, MS 39216-4121
Phone number: 601-200-3100
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Mailing Address
NAKESIA ELLIS MSN, PMHNP-BC
2969 CURRAN DR N
JACKSON, MS 39216-4121
Phone number: 601-200-3100
Copy
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