Organization · Type 2 NPI

Fenwarden LLC

Multi-Specialty Clinic/Center · Jackson, MS

NPI number 1437079688 Active

Practice location

901 N State St Ste A
Jackson, MS 39202-2627

Call (406) 309-6462 Map

Specialties and licenses

TaxonomyCodeLicense
Multi-Specialty Clinic/Center Primary 261QM1300XNone listed

Multi-Specialty Clinic/Center: Definition to come...

4 other providers at this address

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About NPI 1437079688

Fenwarden LLC's National Provider Identifier is 1437079688, issued on Jul 17, 2026. The primary taxonomy on file is Multi-Specialty Clinic/Center (261QM1300X), and the practice location is in Jackson, MS. The record was last updated on Jul 17, 2026.