Organization · Type 2 NPI

State of Mississippi - University of Mississippi Medical Center

Nurse Practitioner · Jackson, MS

NPI number 1508012774 Active

Practice location

2500 N State St
Jackson, MS 39216-4500

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000XNone listed

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1508012774

State of Mississippi - University of Mississippi Medical Center's National Provider Identifier is 1508012774, issued on Aug 7, 2008. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Jackson, MS. The record was last updated on Aug 7, 2008.