MICHELLE BORZIK GORETH

JACKSON, MS
NPI1588984744
Other NameDIANNA MICHELLE BORZIK GORETH
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LA2100X Nurse Practitioner, Acute Care
(Licence: MS  R860018)
Additional Taxonomies163WP0200X Registered Nurse, Pediatrics
(Licence: MS  R860018)
363LP0222X Nurse Practitioner, Pediatrics, Critical Care
(Licence: TX  794000)
Enumeration Date2010-06-09
Last Update Date2015-12-10
Business Address
Mrs. MICHELLE BORZIK GORETH CPNP-AC
2500 N STATE ST
JACKSON, MS 39216-4500
Phone number: 601-984-5050
Mailing Address
Mrs. MICHELLE BORZIK GORETH CPNP-AC
2500 N STATE ST
JACKSON, MS 39216-4500
Phone number: 601-984-5050