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Jonathan Princiotta
Critical Care Pediatric Nurse Practitioner in Jackson, Mississippi
NPI 1215476064

Jonathan Princiotta is a Critical Care Pediatric Nurse Practitioner based in Brandon, MS and is specialized in Pediatrics, Critical Care. Jonathan Princiotta practices in Jackson, MS. The NPI Number for Jonathan Princiotta is 1215476064 and holds a License No. 901958 (Mississippi).

The current practice location address for Jonathan Princiotta is 2500 N State St, Jackson, MS and can be reached out via phone at 601-815-6960. You can also correspond with Jonathan Princiotta through the mailing address at 510 PINEBARK CV, BRANDON, MS - 39047-4447 (mailing address contact number: 228-238-9187).

Location: 2500 N State St, Jackson, MS, 39047-4447
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Provider Profile Details
NPI Number
1215476064
Provider Name
Jonathan Princiotta
Credential
Provider Entity Type
Individual
Gender
Male
Address
2500 N State St, Jackson, MS, 39047-4447
Phone Number
601-815-6960
Fax Number
Provider Enumeration Date
02/13/2017
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
05103351 05 MS
institution
Provider Business Practice Location Address Details
Address
2500 N State St
City
State
Zip
39216-4500
Phone Number
601-815-6960
Fax Number
person
Provider Business Mailing Address Details
Address
510 Pinebark Cv
City
State
Zip
39047-4447
Phone Number
228-238-9187
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Pediatrics, Critical Care
Taxonomy
License No.
901958 (Mississippi)
Definition
Definition to come...
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