IndividualActive
Angel Isom
NPI 1063008985 · Homemaker · Olive Branch, MS
Provider details
- NPI number
- 1063008985
- Entity type
- Individual
- Primary specialty
- HomemakerNursing Service Related Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 22-1648 (MS)
Mailing address
4615 Dupree Rd.
Olive Branch, MS 38654-5197
Registry dates
- Enumerated
- 2020-12-15
- Last updated
- 2022-05-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.