Organization · Type 2 NPI

State of Mississippi-University of Mississippi Medical Center

Nurse Practitioner · Jackson, MS

NPI number 1699857433 Active

Practice location

2500 N State St, Pfs
Jackson, MS 39216-4500

Fax (601) 984-4657

Specialties and licenses

TaxonomyCodeLicense
Registered Dietitian 133V00000XNone listed
Nurse Practitioner Primary 363L00000XNone listed
Certified Registered Nurse Anesthetist 367500000XNone 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 1699857433

State of Mississippi-University of Mississippi Medical Center's National Provider Identifier is 1699857433, issued on Oct 20, 2006. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Jackson, MS. The record was last updated on Apr 20, 2008.