Individual provider · Type 1 NPI
Nina Nicole Mayo, NP
Family Nurse Practitioner · Jackson, MS
NPI number
1124323555
Active
Practice location
2500 N State St
Jackson, MS 39216-4500
Mailing address
125 E Sunset Dr
Brandon, MS 39042-3619
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | R872778 (MS) |
Family Nurse Practitioner: Definition to come...
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About NPI 1124323555
Nina Nicole Mayo, NP's National Provider Identifier is 1124323555, issued on Jan 15, 2011. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Jackson, MS. The record was last updated on Jun 19, 2012.