IndividualActive
Jermellody Christian
NPI 1780521005 · Early Intervention Provider Agency · Diberville, MS
Provider details
- NPI number
- 1780521005
- Entity type
- Individual
- Primary specialty
- Early Intervention Provider AgencyAgencies
- Sex
- Female
- Sole proprietor
- Yes
- License
- 202077 (MS)
Specialties & taxonomies
Agencies
Practice location
15120 Post Mill Ct
Diberville, MS 39540-5602
Phone: (662) 822-6909
Approximate (ZIP-level) locationGet directions
Mailing address
15120 Post Mill Ct
Diberville, MS 39540-5602
Registry dates
- Enumerated
- 2026-05-04
- Last updated
- 2026-05-04
- Certified
- 2026-05-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.