Organization · Type 2 NPI
Innovative Health LLC
Obstetrics & Gynecology Nurse Practitioner · Jackson, MS
NPI number
1174755359
Active
Practice location
501 Marshall St Ste 605
Jackson, MS 39202-1650
Fax (601) 968-1693
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Obstetrics & Gynecology Nurse Practitioner Primary | 363LX0001X | None listed |
Obstetrics & Gynecology Nurse Practitioner: Definition to come...
About NPI 1174755359
Innovative Health LLC's National Provider Identifier is 1174755359, issued on Aug 20, 2009. The primary taxonomy on file is Obstetrics & Gynecology Nurse Practitioner (363LX0001X), and the practice location is in Jackson, MS. The record was last updated on Jan 17, 2020.