IndividualActive
Ricky Conway, REGISTERED NURSE
NPI 1225667488 · Medical-Surgical Registered Nurse · Jackson, MS
Provider details
- NPI number
- 1225667488
- Entity type
- Individual
- Primary specialty
- Medical-Surgical Registered NurseNursing Service Providers
- Credential
- REGISTERED NURSE
- Sex
- Male
- Sole proprietor
- Yes
- License
- 860326 (MS)
Mailing address
5732 Angle Drive
Jackson, MS 39206
Registry dates
- Enumerated
- 2020-04-08
- Last updated
- 2020-04-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.