Individual provider · Type 1 NPI

Jennifer Sumrall Godbold, APRN, BC

Family Nurse Practitioner · Jackson, MS

NPI number 1073797338 Active

Practice location

2500 North State Street, Surgery
Jackson, MS 39216

Call (601) 984-5678 Map

Fax (601) 984-5638

Mailing address

2500 N State St
Jackson, MS 39216-4500

Specialties and licenses

Taxonomy	Code	License
Family Nurse Practitioner Primary	363LF0000X	R865457 (MS)

Family Nurse Practitioner: Definition to come...

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About NPI 1073797338

Jennifer Sumrall Godbold, APRN, BC's National Provider Identifier is 1073797338, issued on Dec 21, 2007. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Jackson, MS. The record was last updated on Dec 16, 2014.