SHANNON RILEY HERROD

LAUREL, MS
NPI1649703919
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: MS  901922)
Enumeration Date2017-04-04
Last Update Date2017-04-04
Business Address
Mrs. SHANNON RILEY HERROD NP-C
1220 JEFFERSON ST
LAUREL, MS 39440-4355
Phone number: 601-319-8568
Mailing Address
Mrs. SHANNON RILEY HERROD NP-C
1064 FRANCES ST
HATTIESBURG, MS 39402-8300
Phone number: 601-408-2231
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