JAZMIN CORLEY M.A NPI 1811697543

NPI Information

NPI: 1811697543
Provider Name: JAZMIN CORLEY, M.A
Classification: Physician Assistant - 363AM0700X
Entity Type: Individual

Specialization: Medical

Address:
907 E INDEPENDENCE ST STE 200
BROOKHAVEN, MS
ZIP 39601
Phone: (769) 204-2184
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Jazmin Corley, M.A is a medical physician assistant in Brookhaven, MS. Jazmin Corley, M.A NPI is 1811697543. 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:

907 E INDEPENDENCE ST STE 200
BROOKHAVEN, MS
ZIP 39601-101
Phone: (769) 204-2184

The enumeration date for this NPI number is 3/9/2023 and was last updated on 3/26/2023.

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	Taxonomy Specialization	License Number	License State	Primary
1	376K00000X	Nurse's Aide		A079849	MISSISSIPPI	No
2	363AM0700X	Physician Assistant	Medical	74068	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: 5/5/2024

NPI Synchronization or Removal

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