ALICE SHACKELFORD

JACKSON, MS
NPI1316653397
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner Family
(Licence: MS  905551)
Enumeration Date2023-01-24
Last Update Date2023-01-24
Business Address
ALICE SHACKELFORD FNP-C
971 LAKELAND DR STE 950
JACKSON, MS 39216-4608
Phone number: 601-362-6900
Mailing Address
ALICE SHACKELFORD FNP-C
PO BOX 296
BENTON, MS 39039-0296
Phone number: 769-234-8311
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