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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

KIMYUANA JACKSON DORRIS, PMHNP, AGNP-C

Active

KIMYUANA JACKSON DORRIS, PMHNP, AGNP-C is a Adolescent Medicine healthcare provider located in FLOWOOD, Mississippi. NPI 1184222374 is currently active in the NPPES registry. Verify at CMS.

Adolescent Medicine · FLOWOOD, MS

Registration Details

NPI Number
1184222374
Provider Type
Individual
Gender
Female
NPI Issued
Oct 11, 2020 (5.8516326876609 yrs)
Last Updated
Feb 28, 2024
License
904207 (MS)

Practice Information

Address
215 KATHERINE DR STE A
FLOWOOD, MS, 392329588
Browse MS providers · Browse ZIP 39232
Phone
6016654162
Fax
8883981151
Primary Specialty
Adolescent Medicine
207QA0505X

Other Adolescent Medicine Providers in FLOWOOD, MS

Name Credential NPI
DR. DAVID D RICHARDSON MD 1922186535
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.