Organization · Type 2 NPI

Healthstat On-Site Clinic/unified Brands Jackson

Preventive Medicine/Occupational Environmental Medicine Physician · Vicksburg, MS

NPI number 1376964379 Active

Practice location

88 Armory Rd
Vicksburg, MS 39183-7431

Call (989) 644-3331 Map

Mailing address

4651 Charlotte Park Dr, Suite 300
Charlotte, NC 28217-1956

Specialties and licenses

Taxonomy	Code	License
Preventive Medicine/Occupational Environmental Medicine Physician Primary	2083P0500X	None listed

Preventive Medicine/Occupational Environmental Medicine Physician: A preventive medicine physician who specializes in preventive medicine/occupational-environmental medicine, which is focused on protecting the population from occupational and environmental conditions.

NPI record

NPI: 1376964379
Entity type: Organization (Type 2)
Issued: Dec 18, 2013
Last updated: Apr 27, 2023
Status: Active

Other names

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Jackson Health and Wellness Center · doing business as
Jackson Health and Wellness Center · doing business as

Authorized official

Jill Johnson Patton
Director of Risk Management
(704) 936-5546

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1376964379

Healthstat On-Site Clinic/unified Brands Jackson's National Provider Identifier is 1376964379, issued on Dec 18, 2013. The primary taxonomy on file is Preventive Medicine/Occupational Environmental Medicine Physician (2083P0500X), and the practice location is in Vicksburg, MS. The record was last updated on Apr 27, 2023.