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

TaxonomyCodeLicense
Obstetrics & Gynecology Nurse Practitioner Primary 363LX0001XNone 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.