State of Mississippi - University of Mississippi Medical Center
NPI #1508012774 in Jackson, Mississippi
Provider Information
- NPI Number
- 1508012774
- Entity Type
- Organization
- Organization Name
- State of Mississippi - University of Mississippi Medical Center
- Primary Specialty
- Nurse Practitioner
- Enumeration Date
- Aug 7, 2008
- Last Updated
- Aug 7, 2008
Practice Location
- Address
- 2500 N STATE ST
- City
- Jackson
- State
- Mississippi
- ZIP Code
- 39216-4500
- Phone
- (866) 842-7574
Authorized Official
- Name
- MR. WILLIAM KENNEDY
- Title
- DIRECTOR OF PATIENT FINANCIAL SERV
- Phone
- (601) 984-4680
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner |
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