Central Jackson Medical Clinic, INC
NPI #1285967943 in Jackson, Mississippi
Provider Information
- NPI Number
- 1285967943
- Entity Type
- Organization
- Organization Name
- Central Jackson Medical Clinic, INC
- Primary Specialty
- Nurse Practitioner - Family
- Enumeration Date
- Sep 14, 2009
- Last Updated
- Sep 14, 2009
Practice Location
- Address
- 514 C E WOODROW WILSON
- City
- Jackson
- State
- Mississippi
- ZIP Code
- 39216-4538
- Phone
- (601) 981-7198
Authorized Official
- Name
- MRS. IPHOGENIER BARRY
- Title
- PRESIDENT
- Phone
- (601) 981-7198
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Family — Family |
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