Individual provider · Type 1 NPI

Michael William Nuttle, MD

Student in an Organized Health Care Education/Training Program · Jackson, MS

NPI number 1740920107 Active

Practice location

2500 N State St
Jackson, MS 39216-4500

Call (601) 984-1000 Map

Mailing address

162 Dinwiddie Dr
New Kensington, PA 15068-9392

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1740920107

Michael William Nuttle, MD's National Provider Identifier is 1740920107, issued on Mar 31, 2022. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Jackson, MS. The record was last updated on Mar 31, 2022.