NPI 1154888535

Jalen Rankin

Practitioner Driver Prentiss, MS

Practice location

Address: 1437 Third St, Prentiss, MS 39474-6004
Phone: (601) 317-6725

Registered specialties

Driver Primary

Other Service Providers Taxonomy 172A00000X

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Registry record

NPI: 1154888535
Entity type: Individual
Sex (as registered): Female
NPI issued: 21 Feb 2019
Record last updated: 21 Feb 2019

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.