Individual provider · Type 1 NPI
Theresa Danyell McKissick, APRN
Family Nurse Practitioner · Perkinston, MS
NPI number
1962100347
Active
Practice location
365 Wire Rd W
Perkinston, MS 39573-5723
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 905796 (MS) |
Family Nurse Practitioner: Definition to come...
About NPI 1962100347
Theresa Danyell McKissick, APRN's National Provider Identifier is 1962100347, issued on Feb 16, 2023. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Perkinston, MS. The record was last updated on Feb 16, 2023.