person
Katherine Marie Long, PA
Surgical Physician Assistant in Jackson, Mississippi
NPI 1134495484

Katherine Marie Long is a Surgical Physician Assistant based in Memphis, MS and is specialized in Surgical. Katherine Marie Long practices in Jackson, MS and has the professional credentials of PA. The NPI Number for Katherine Marie Long is 1134495484 and holds a License No. TPA0023 (Mississippi).

The current practice location address for Katherine Marie Long is 1225 N State St, Jackson, MS and can be reached out via phone at 601-968-7047 and via fax at 601-968-4133.

Location: 1225 N State St, Jackson, MS, 38120-9446
person
Provider Profile Details
NPI Number
1134495484
Provider Name
Katherine Marie Long
Credential
PA
Provider Entity Type
Individual
Gender
Female
Address
1225 N State St, Jackson, MS, 38120-9446
Phone Number
601-968-7047
Fax Number
601-968-4133
Provider Enumeration Date
03/30/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1225 N State St
City
State
Zip
39202-2064
Phone Number
601-968-7047
Fax Number
601-968-4133
person
Provider Business Mailing Address Details
Address
1225 N State St
City
State
Zip
39202-2064
Phone Number
601-968-7047
Fax Number
601-968-4133
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Surgical
Taxonomy
License No.
TPA0023 (Mississippi)
Definition
Definition to come...
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