KRESTINA SUZANNE BANCK

JACKSON, MS
NPI1558878983
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: MS  902464)
Enumeration Date2018-01-08
Last Update Date2019-08-15
Business Address
Ms. KRESTINA SUZANNE BANCK CFNP
1200 N STATE ST STE 430
JACKSON, MS 39202-2027
Phone number: 601-487-7141
Mailing Address
Ms. KRESTINA SUZANNE BANCK CFNP
1200 N STATE ST STE 430
JACKSON, MS 39202-2027
Phone number: 601-487-7141