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SHANNON AYIESHA MILBOURNE M.D. NPI 1295047561


NPI Information

NPI: 1295047561
Provider Name: SHANNON AYIESHA MILBOURNE, M.D.
Classification: Radiology - 2085R0202X
Entity Type: Individual

Specialization: Diagnostic Radiology

Address:
2500 N STATE ST
DEPARTMENT OF RADIOLOGY
JACKSON, MS
ZIP 39216
Phone: (601) 984-2695
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Shannon Ayiesha Milbourne, M.D. is a diagnostic radiology radiology in Jackson, MS. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. Shannon Ayiesha Milbourne, M.D. NPI is 1295047561. 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:

2500 N STATE ST
DEPARTMENT OF RADIOLOGY
JACKSON, MS
ZIP 39216-500
Phone: (601) 984-2695
Fax: (601) 984-2683

The enumeration date for this NPI number is 7/2/2010 and was last updated on 7/2/2010.


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
12085R0202XRadiologyDiagnostic RadiologyT-2338MISSISSIPPIYes

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.