All Medicaid billing entities listing MARDIS, JENNYE (STAFF) as their authorized official in the NPPES registry.
| State | Entities | Total Paid |
|---|---|---|
| Mississippi | 1 | $192.08 |
| # | Provider | Location | Specialty | Total Paid |
|---|---|---|---|---|
| 1 | REVITALIZE HYDRATION THERAPY, LLC | FLOWOOD, MS | Gerontology Nurse Practitioner | $192.08 |