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Patricia Barksdale

Licensed Practical Nurse in Jackson, MS. Individual provider (NPI-1).

NPI number1841925211
StatusActive
Last updated in NPPESJul 20, 2022

Details

NPI
1841925211
Entity type
Individual (NPI-1)
Name
Patricia Barksdale
Sex
Female
Sole proprietor
No
Enumeration date
Jul 20, 2022
Certification date
Jul 20, 2022
Last updated
Jul 20, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
164W00000X Licensed Practical Nurse302272MSYes

Practice location

1935 Lakeland Dr
Jackson, MS 39216-5028

Phone 601-718-2468

Mailing address

1935 Lakeland Dr
Jackson, MS 39216-5028

Phone 601-718-2468

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