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Jaci King

NPI 1134705528 · on the registry since 2021

Practice

Address
2135 Zetus Rd Nw
Brookhaven, MS 39601
Phone
(601) 757-9927
Organisation at this address
Halocare Llc
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy
163W00000X
163W00000X
Licence states on file
MS
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2021-03-24

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Mississippi