institution
St Dominic Medical Associates Llc
Family Nurse Practitioner in Jackson, Mississippi
NPI 1508263179

St Dominic Medical Associates Llc is a Family Nurse Practitioner based in Jackson, MS and is specialized in Family. St Dominic Medical Associates Llc practices in Jackson, MS. The NPI Number for St Dominic Medical Associates Llc is 1508263179 and holds a License No. R886071 (Mississippi).

The current practice location address for St Dominic Medical Associates Llc is 890 Lakeland Dr, Jackson, MS and can be reached out via phone at 601-200-3131 and via fax at 601-200-5929.

Location: 890 Lakeland Dr, Jackson, MS, 39225-3666
institution
Provider Profile Details
NPI Number
1508263179
Provider Name
St Dominic Medical Associates Llc
Credential
Provider Entity Type
Organization
Address
890 Lakeland Dr, Jackson, MS, 39225-3666
Phone Number
601-200-3131
Fax Number
601-200-5929
Provider Enumeration Date
11/26/2014
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
04838265 05 MS
institution
Provider Business Practice Location Address Details
Address
890 Lakeland Dr
City
State
Zip
39216-4644
Phone Number
601-200-3131
Fax Number
601-200-5929
person
Provider Business Mailing Address Details
Address
890 Lakeland Dr
City
State
Zip
39216-4644
Phone Number
601-200-3131
Fax Number
601-200-5929
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
R886071 (Mississippi)
Definition
Definition to come...
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