State of Mississippi-University of Mississippi Medical Center
NPI #1699857433 in Jackson, Mississippi
Provider Information
- NPI Number
- 1699857433
- Entity Type
- Organization
- Organization Name
- State of Mississippi-University of Mississippi Medical Center
- Primary Specialty
- Nurse Practitioner
- Enumeration Date
- Oct 20, 2006
- Last Updated
- Apr 20, 2008
Practice Location
- Address
- 2500 N STATE ST
- Address 2
- PFS
- City
- Jackson
- State
- Mississippi
- ZIP Code
- 39216-4500
- Phone
- (601) 984-4619
Authorized Official
- Name
- WILLIAM KENNEDY
- Title
- ASSOCIATE ADMINISTOR
- Phone
- (601) 986-4699
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dietitian, Registered |
| Nurse Anesthetist, Certified Registered |
| Nurse Practitioner |
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