REGINA BERRY

JACKSON, MS
NPI1154799625
Former NameREGINA WILSON
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LA2100X Nurse Practitioner, Acute Care
(Licence: MS  R861126)
Enumeration Date2015-09-14
Last Update Date2015-09-14
Business Address
-- REGINA BERRY CNP
1325 E FORTIFICATION ST
JACKSON, MS 39202-2442
Phone number: 601-354-4488
Mailing Address
-- REGINA BERRY CNP
1325 E FORTIFICATION ST
JACKSON, MS 39202-2442
Phone number: 601-354-4488