JACKSON PUBLIC SCHOOLS NPI 1942472899

NPI Information

NPI: 1942472899
Provider Name: JACKSON PUBLIC SCHOOLS
Classification: Clinic/Center - 261QS1000X
Specialization: Student Health
Entity Type: Organization
Doing Business As: JACKSON PUBLIC SCHOOLS POINDEXTER CLINIC
Address: 618 S PRESIDENT ST
JACKSON, MS
ZIP 39201
Phone: (601) 960-8705

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NPI Details

JACKSON PUBLIC SCHOOLS is a student health clinic center in Jackson, MS. JACKSON PUBLIC SCHOOLS NPI is 1942472899. The provider is registered as an organization entity type.
The provider Is Doing Business As Jackson Public Schools Poindexter Clinic.

The provider's business location address is:

618 S PRESIDENT ST
JACKSON, MS
ZIP 39201-601
Phone: (601) 960-8705
Fax: (601) 960-8704

The provider's authorized official is Tammy D. Crocker .
The authorized official title is Lead Nurse and has the following contact phone number (601) 209-4456.

The enumeration date for this NPI number is 4/1/2008 and was last updated on 4/1/2008.

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	261QS1000X	Clinic/Center	Student Health			Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	05154701	MEDICAID	MISSISSIPPI

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: 3/30/2025

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