Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SHALISA GAINES
Active Sole ProprietorSHALISA GAINES is a Contractor healthcare provider located in CLINTON, Mississippi. NPI 1033659958 is currently active in the NPPES registry. Verify at CMS.
Contractor · CLINTON, MS
Registration Details
- NPI Number
- 1033659958
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Feb 24, 2017 (9.4680611234336 yrs)
- Last Updated
- Feb 24, 2017
- Sole Proprietor
- Yes
Practice Information
- Address
-
608 HIGHWAY 80 E # CCLINTON, MS, 390565104Browse MS providers · Browse ZIP 39056
- Phone
- 7692180292
- Fax
- 6014732429
- Primary Specialty
-
Contractor
171W00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.