Jaci King

NPI #1134705528 in Brookhaven, Mississippi

Provider Information

NPI Number: 1134705528
Entity Type: Individual
Name: Jaci King
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Registered Nurse
Enumeration Date: Mar 24, 2021
Last Updated: Mar 24, 2021

Practice Location

Address: 2135 ZETUS RD NW
City: Brookhaven
State: Mississippi
ZIP Code: 39601
Phone: (601) 757-9927

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Registered Nurse	163W00000X	Primary

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