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JACKSON HEALTHCARE FOR WOMEN PA NPI 1689717530


NPI Information

NPI: 1689717530
Provider Name: JACKSON HEALTHCARE FOR WOMEN PA
Classification: Obstetrics & Gynecology - 207V00000X
Entity Type: Organization
Address:
971 LAKELAND DR
SUITE 400
JACKSON, MS
ZIP 39216
Phone: (601) 982-1670
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JACKSON HEALTHCARE FOR WOMEN PA is an obstetrics gynecology in Jackson, MS. The provider is an obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. JACKSON HEALTHCARE FOR WOMEN PA NPI is 1689717530. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

971 LAKELAND DR
SUITE 400
JACKSON, MS
ZIP 39216-643
Phone: (601) 982-1670
Fax: (601) 982-0219

The provider's authorized official is John W Cook .
The authorized official title is President and has the following contact phone number (601) 982-1670.

The enumeration date for this NPI number is 2/14/2007 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:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207V00000XObstetrics & GynecologyYes

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

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