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1982953402
JESSICA RENEE FORDHAM
JACKSON, MS
NPI
1982953402
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: MS 880822)
Enumeration Date
2012-08-29
Last Update Date
2022-12-22
Business Address
JESSICA RENEE FORDHAM NP
3800 I-55 NORTH FRONTAGE RD SUITE 101
JACKSON, MS 39216
Phone number: 601-200-6880
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Mailing Address
JESSICA RENEE FORDHAM NP
3800 I-55 NORTH FRONTAGE RD SUITE 101
JACKSON, MS 39216
Phone number: 601-200-6880
Copy
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