institution
Jackson State University
General Practice Physician in Jackson, Mississippi
NPI 1366991523

Jackson State University is a General Practice Physician based in Dallas, MS. Jackson State University practices in Jackson, MS. The NPI Number for Jackson State University is 1366991523 and holds a License No. 09707 (Mississippi).

The current practice location address for Jackson State University is 1400 Jr Lynch St, Jackson, MS and can be reached out via phone at 601-979-2291. You can also correspond with Jackson State University through the mailing address at 5050 SPRING VALLEY RD, DALLAS, TX - 75244-3995 (mailing address contact number: ).

Location: 1400 Jr Lynch St, Jackson, MS, 75244-3995
institution
Provider Profile Details
NPI Number
1366991523
Provider Name
Jackson State University
Credential
Provider Entity Type
Organization
Address
1400 Jr Lynch St, Jackson, MS, 75244-3995
Phone Number
601-979-2291
Fax Number
Provider Enumeration Date
09/29/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1400 Jr Lynch St
City
State
Zip
39217-0002
Phone Number
601-979-2291
Fax Number
person
Provider Business Mailing Address Details
Address
5050 Spring Valley Rd
City
State
Zip
75244-3995
Phone Number
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
License No.
09707 (Mississippi)
Definition
Definition to come...
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