Organization · Type 2 NPI

Jackson Vamc

VA Clinic/Center · Jackson, MS

NPI number 1407303050 Active

Practice location

6522 Dogwood View Parkway, Suite F
Jackson, MS 39213-7858

Mailing address

PO Box 94497
Cleveland, OH 44101-4497

Specialties and licenses

TaxonomyCodeLicense
VA Clinic/Center Primary 261QV0200XNone listed

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About NPI 1407303050

Jackson Vamc's National Provider Identifier is 1407303050, issued on Sep 1, 2016. The primary taxonomy on file is VA Clinic/Center (261QV0200X), and the practice location is in Jackson, MS. The record was last updated on Oct 4, 2017.