CENTRAL JACKSON MEDICAL CLINIC INC NPI 1285967943

NPI Information

CENTRAL JACKSON MEDICAL CLINIC, INC is a family nurse practitioner in Jackson, MS. CENTRAL JACKSON MEDICAL CLINIC, INC NPI is 1285967943. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

514 C E WOODROW WILSON
JACKSON, MS
ZIP 39216-538
Phone: (601) 981-7198
Fax: (601) 981-6616

The provider's authorized official is Iphogenier Barry .
The authorized official title is President and has the following contact phone number (601) 981-7198.

The enumeration date for this NPI number is 9/14/2009 and was last updated on 9/14/2009.

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:

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