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1649002866
JERICA FOXWORTH
HATTIESBURG, MS
NPI
1649002866
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: MS 906799)
Enumeration Date
2024-08-16
Last Update Date
2024-08-16
Business Address
JERICA FOXWORTH PMHNP
148 STEEP HOLW
HATTIESBURG, MS 39402-7004
Phone number: 601-316-0019
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Mailing Address
JERICA FOXWORTH PMHNP
148 STEEP HOLW
HATTIESBURG, MS 39402-7004
Phone number: 601-316-0019
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