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Mrs. Jennifer Sumrall Godbold, APRN,BC
Family Nurse Practitioner in Jackson, Mississippi
NPI 1073797338

Jennifer Sumrall Godbold is a Family Nurse Practitioner based in Jackson, MS and is specialized in Family. Jennifer Sumrall Godbold practices in Jackson, MS and has the professional credentials of APRN,BC. The NPI Number for Jennifer Sumrall Godbold is 1073797338 and holds a License No. R865457 (Mississippi).

The current practice location address for Jennifer Sumrall Godbold is 2500 North State Street, Jackson, MS and can be reached out via phone at 601-984-5678 and via fax at 601-984-5638.

Location: 2500 North State Street, Jackson, MS, 39216-4500
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Provider Profile Details
NPI Number
1073797338
Provider Name
Jennifer Sumrall Godbold
Credential
APRN,BC
Provider Entity Type
Individual
Gender
Female
Address
2500 North State Street, Jackson, MS, 39216-4500
Phone Number
601-984-5678
Fax Number
601-984-5638
Provider Enumeration Date
12/21/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
05956046 05 MS
institution
Provider Business Practice Location Address Details
Address
2500 North State Street
City
State
Zip
39216
Phone Number
601-984-5678
Fax Number
601-984-5638
person
Provider Business Mailing Address Details
Address
2500 North State Street
City
State
Zip
39216
Phone Number
601-984-5678
Fax Number
601-984-5638
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
R865457 (Mississippi)
Definition
Definition to come...
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