Individual provider · Type 1 NPI

Jason Michael Butler, NP

Adult Health Nurse Practitioner · Richland, MS

NPI number 1417467168 Active

Practice location

129 Center St Ste B
Richland, MS 39218-4800

Mailing address

314 Cypress Creek Rd
Brandon, MS 39047-7989

Specialties and licenses

TaxonomyCodeLicense
Adult Health Nurse Practitioner Primary 363LA2200X902078 (MS)
Gerontology Nurse Practitioner 363LG0600X902078 (MS)

Adult Health Nurse Practitioner: Definition to come...

4 other providers at this address

About NPI 1417467168

Jason Michael Butler, NP's National Provider Identifier is 1417467168, issued on Oct 9, 2017. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Richland, MS. The record was last updated on Oct 9, 2017.