Individual provider · Type 1 NPI

Garrett McTyre Minor

Student in an Organized Health Care Education/Training Program · Jackson, MS

NPI number 1114555000 Active

Practice location

2500 N State St
Jackson, MS 39216-4500

Call (601) 984-1000 Map

Mailing address

120 District Blvd Apt 416
Jackson, MS 39211-6388

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XT6168 (MS)

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

2,666 other providers at this address

Other student in an organized health care education/training program providers in Jackson

See all in Jackson →

About NPI 1114555000

Garrett McTyre Minor's National Provider Identifier is 1114555000, issued on Mar 28, 2020. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Jackson, MS. The record was last updated on Jul 29, 2026.