IndividualActive
Shalisa Gaines
NPI 1033659958 · Contractor · Clinton, MS
Provider details
- NPI number
- 1033659958
- Entity type
- Individual
- Primary specialty
- ContractorOther Service Providers
- Sex
- Female
- Sole proprietor
- Yes
Specialties & taxonomies
Other Service Providers
Practice location
608 Highway 80 E # C
Clinton, MS 39056-5104
Phone: (769) 218-0292
Fax: (601) 473-2429
Approximate (ZIP-level) locationGet directions
Mailing address
608 Highway 80 E # C
Clinton, MS 39056-5104
Registry dates
- Enumerated
- 2017-02-24
- Last updated
- 2017-02-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.