QUEENEICE BOYETTE GANISON

GREENVILLE, MS
NPI1437621323
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: MS  902219)
Enumeration Date2018-12-18
Last Update Date2018-12-18
Business Address
Ms. QUEENEICE BOYETTE GANISON FNP-BC
205 S DELTA ST
GREENVILLE, MS 38703-4420
Phone number: 662-822-3150
Mailing Address
Ms. QUEENEICE BOYETTE GANISON FNP-BC
2492 MOURNING DOVE ST
GREENVILLE, MS 38701-8121
Phone number: 662-822-3150
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