Organization · Type 2 NPI
JFMC Ellisville, LLC
Primary Care Clinic/Center · Ellisville, MS
NPI number
1407121338
Active
Practice location
602 Hill St
Ellisville, MS 39437-2414
Fax (601) 719-0473
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Primary Care Clinic/Center Primary | 261QP2300X | None listed |
| Urgent Care Clinic/Center | 261QU0200X | None listed |
Primary Care Clinic/Center: Definition to come...
About NPI 1407121338
JFMC Ellisville, LLC's National Provider Identifier is 1407121338, issued on Mar 10, 2012. The primary taxonomy on file is Primary Care Clinic/Center (261QP2300X), and the practice location is in Ellisville, MS. The record was last updated on Oct 18, 2012.