JONATHAN PRINCIOTTA

JACKSON, MS
NPI1215476064
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LP0222X Nurse Practitioner, Pediatrics, Critical Care
(Licence: MS  901958)
Enumeration Date2017-02-13
Last Update Date2017-04-05
Business Address
-- JONATHAN PRINCIOTTA
2500 N STATE ST 2500 NORTH STATE STREET
JACKSON, MS 39216-4500
Phone number: 601-815-6960
Mailing Address
-- JONATHAN PRINCIOTTA
510 PINEBARK CV
BRANDON, MS 39047-4447
Phone number: 228-238-9187
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