REGINA SHANELLE NICKELSON

MERIDIAN, MS
NPI1083844526
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: AL  1-099036)
Enumeration Date2009-07-17
Last Update Date2012-11-07
Business Address
-- REGINA SHANELLE NICKELSON FNP-BC
2701 DAVIS STREET
MERIDIAN, MS 39301-5708
Phone number: 601-693-0118
Mailing Address
-- REGINA SHANELLE NICKELSON FNP-BC
2701 DAVIS STREET
MERIDIAN, MS 39301-5708
Phone number: 601-693-0118
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