Organization · Type 2 NPI
Central Jackson Medical Clinic, Inc
Family Nurse Practitioner · Jackson, MS
NPI number
1285967943
Active
Practice location
514 C E Woodrow Wilson
Jackson, MS 39216-4538
Fax (601) 981-6616
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | R733308 (MS) |
| Family Nurse Practitioner | 363LF0000X | R718637 (MS) |
Family Nurse Practitioner: Definition to come...
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About NPI 1285967943
Central Jackson Medical Clinic, Inc's National Provider Identifier is 1285967943, issued on Sep 14, 2009. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Jackson, MS. The record was last updated on Sep 14, 2009.