| Doctor Name: | JENNIFER ROSE PIERCE |
| NPI Number: | 1396727590 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | CFNP |
| License Number: | R850102 |
| Business Practice Address: | 12b Natchez St Tishomingo, MS - 38873 |
| Business Phone Number: | 6624387474 |
| Business Fax Number: | 6624387760 |
| Mailing Address: | Po Box 400, TISHOMINGO |
| State: | MS |
| Postal Code: | 388730400 |
| Phone Number: | 6624387474 |
| Fax Number: | 6624387760 |
| NPI Enumeration Date: | 11/15/2005 |
| NPI Last Update Date: | 07/05/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | R850102 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MS |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |