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JACKSON PUBLIC SCHOOLS LESTER CLINIC NPI 1770628943


NPI Information

NPI: 1770628943
Provider Name: JACKSON PUBLIC SCHOOLS LESTER CLINIC
Classification: Registered Nurse - 163WS0200X
Entity Type: Organization

Specialization: School

Address:
2350 OAKHURST DR
JACKSON, MS
ZIP 39204
Phone: (601) 502-8946
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JACKSON PUBLIC SCHOOLS LESTER CLINIC is a school registered nurse in Jackson, MS. JACKSON PUBLIC SCHOOLS LESTER CLINIC NPI is 1770628943. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2350 OAKHURST DR
JACKSON, MS
ZIP 39204-929
Phone: (601) 502-8946
Fax: (601) 502-8941

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 2/21/2007 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
1163WS0200XRegistered NurseSchoolR804275MISSISSIPPIYes

Other Identifiers

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

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
104203886MEDICAIDMISSISSIPPI

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: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.