James, Jessica Shanna

James, Jessica Shanna is an individual health care provider with primary practice located at 32 Millbranch Rd Ste 40 , Hattiesburg MS 39402-1673. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Student, Health Care / Student in an Organized Health Care Education/Training Program, Behavioral Health & Social Service Providers / Clinical Child & Adolescent. Behavioral Health & Social Service Providers / Clinical Child & Adolescent is her primary health care specialty. James, Jessica Shanna can be contacted via phone (601) 255-5264.

Contact Information

Primary practice address
32 Millbranch Rd Ste 40 Hattiesburg MS 39402-1673
Phone: (601) 255-5264
Fax: (866) 625-0559
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 20043221A Indiana
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Behavioral Health & Social Service Providers / Clinical Child & Adolescent 103TC2200X

Profile Details

NPI number 1205363447
LBN Legal business name James, Jessica Shanna
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date May 18th, 2017
Last updated Jul 21st, 2022 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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