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1972867158
SHANEKA LATRISHA SIMMONS
JACKSON, MS
NPI
1972867158
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: MS R879973)
Enumeration Date
2012-07-02
Last Update Date
2016-11-30
Business Address
Ms. SHANEKA LATRISHA SIMMONS FNP-C
2500 N STATE ST
JACKSON, MS 39216-4500
Phone number: 601-984-5706
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Mailing Address
Ms. SHANEKA LATRISHA SIMMONS FNP-C
2500 N STATE ST
JACKSON, MS 39216-4500
Phone number: 601-984-5706
Copy
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