person
Mary Glenn Waldrop
Student in an Organized Health Care Education/Training Program in Jackson, Mississippi
NPI 1386387520

Mary Glenn Waldrop is a Student in an Organized Health Care Education/Training Program based in Mountain Brk, MS. Mary Glenn Waldrop practices in Jackson, MS. The NPI Number for Mary Glenn Waldrop is 1386387520 and holds a License No. (Mississippi).

The current practice location address for Mary Glenn Waldrop is 2500 N State St, Jackson, MS and can be reached out via phone at 205-789-5731.

Location: 2500 N State St, Jackson, MS, 35223-1318
person
Provider Profile Details
NPI Number
1386387520
Provider Name
Mary Glenn Waldrop
Credential
Provider Entity Type
Individual
Gender
Female
Address
2500 N State St, Jackson, MS, 35223-1318
Phone Number
205-789-5731
Fax Number
Provider Enumeration Date
04/15/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2500 N State St
City
State
Zip
39216-4500
Phone Number
205-789-5731
Fax Number
person
Provider Business Mailing Address Details
Address
2500 N State St
City
State
Zip
39216-4500
Phone Number
205-789-5731
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
(Mississippi)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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