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NPI Profile for KIMYUANA JACKSON DORRIS in FLOWOOD, MS.
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Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Adult Medicine |
207QA0505X | 08 | Physician/Family Practice |
| NPI # | 1184222374 |
|
| Status | Active | |
| Credentials | PMHNP, AGNP-C | |
| Entity | Individual | |
| Enumeration date | 10/11/2020 | |
| Last updated | 02/28/2024 - About 2 years ago | |
| Sole proprietor 1 | No | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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KIMYUANA JACKSON DORRIS
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| PATRIOT HEALTHCARE OF MISSISSIPPI, LLC 4800 LAKELAND DRIVE FLOWOOD, MS |
| MEDICAL FOUNDATION OF CENTRAL MISSISSIPPI, INC 106 CLINTON PARKWAY CLINTON, MS |
| FIRST FAMILY HEALTHCARE CENTER, PLLC 119 SOUTH OAK STREET RAYMOND, MS |
| CATHERINE D GARNER KUADA, MD 1809 MARSHALL PL JACKSON, MS |
| EMMANUEL D AGBETI, MD 2500 NORTH STATE STREET JACKSON, MS |
| MODUPE H AJISAFE, MD DEPARTMENT OF FAMILY MEDICINE JACKSON, MS |
| TODD L FULCHER, MD MANHATTAN NURSING AND REHABILITATION CENTER JACKSON, MS |
| SCOTT L HAMBLETON, MD 7048 OLD CANTON ROAD RIDGELAND, MS |
| MICHAEL L SANDERS, MD 201 HIGHWAY 51 UNIT A RIDGELAND, MS |
| UC, LLC 1067 HIGHLAND COLONY PARKWAY JACKSON, MS |
KIMYUANA JACKSON DORRIS, PMHNP, AGNP-C