KIMYUANA JACKSON DORRIS

FLOWOOD, MS
NPI1184222374
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207QA0505X Family Medicine, Adult Medicine
(Licence: MS  904207)
Enumeration Date2020-10-11
Last Update Date2024-02-28
Business Address
KIMYUANA JACKSON DORRIS PMHNP, AGNP-C
215 KATHERINE DR STE A
FLOWOOD, MS 39232-9588
Phone number: 601-665-4162
Mailing Address
KIMYUANA JACKSON DORRIS PMHNP, AGNP-C
20 HOBO FORK RD
NATCHEZ, MS 39120-9025
Phone number: