JACKSON PUBLIC SCHOOLS NORTHWEST CLINIC NPI 1609901503

NPI Information

JACKSON PUBLIC SCHOOLS NORTHWEST CLINIC is a school registered nurse in Jackson, MS. JACKSON PUBLIC SCHOOLS NORTHWEST CLINIC NPI is 1609901503. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

7020 HWY 49 N
JACKSON, MS
ZIP 39213
Phone: (601) 713-1776
Fax: (601) 713-0579

The provider's authorized official is Earl Watkins .
The authorized official title is Superintendent and has the following contact phone number (601) 960-8700.

The enumeration date for this NPI number is 2/22/2007 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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