DR. KAISHA RENADA GRIFFIN M.D. NPI 1619188026

NPI Information

NPI: 1619188026
Provider Name: DR. KAISHA RENADA GRIFFIN, M.D.
Classification: Pediatrics - 208000000X
Entity Type: Individual
Address:
350 W WOODROW WILSON AVE
JACKSON, MS
ZIP 39213
Phone: (601) 709-5130
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DR. Kaisha Renada Griffin, M.D. is a pediatrics in Jackson, MS. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. DR. Kaisha Renada Griffin, M.D. NPI is 1619188026. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

350 W WOODROW WILSON AVE
JACKSON, MS
ZIP 39213-681
Phone: (601) 709-5130
Fax: (601) 709-5151

The enumeration date for this NPI number is 5/25/2007 and was last updated on 6/25/2011.

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:

No.	Taxonomy Code	Taxonomy Clasification	License Number	License State	Primary
1	390200000X	Student in an Organized Health Care Education/Training Program			No
2	208000000X	Pediatrics	T-1990	MISSISSIPPI	No
3	208000000X	Pediatrics	21093	MISSISSIPPI	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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