Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Shalisa Gaines

Individual provider Contractor · NPI 1033659958

Shalisa Gaines is a Contractor in Clinton, Mississippi. Practices as a sole proprietor. Registered with an NPI since 2017.

In the registry since
2017
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Practice location Address checks out

608 Highway 80 E # C
Clinton, MS 39056-5104
Phone: (769) 218-0292
Fax: (601) 473-2429
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Contractor (primary) Taxonomy 171W00000X

Record details

NPI number1033659958
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedFebruary 24, 2017
Last updated in NPPESFebruary 24, 2017
Mailing address608 Highway 80 E # C, Clinton, MS 39056-5104