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Gloria Simo Jaques, NP
Gerontology Nurse Practitioner in Jackson, Mississippi
NPI 1518219914

Gloria Simo Jaques is a Gerontology Nurse Practitioner based in Jackson, MS and is specialized in Gerontology. Gloria Simo Jaques practices in Jackson, MS and has the professional credentials of NP. The NPI Number for Gloria Simo Jaques is 1518219914 and holds a License No. R850494 (Mississippi).

The current practice location address for Gloria Simo Jaques is 2500 N State St, Jackson, MS and can be reached out via phone at 601-984-1000.

Location: 2500 N State St, Jackson, MS, 39216-4500
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Provider Profile Details
NPI Number
1518219914
Provider Name
Gloria Simo Jaques
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
2500 N State St, Jackson, MS, 39216-4500
Phone Number
601-984-1000
Fax Number
Provider Enumeration Date
10/09/2012
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
06432790 05 MS
P01454792 01 MS RAILROAD MEDICARE PTAN
institution
Provider Business Practice Location Address Details
Address
2500 N State St
City
State
Zip
39216-4500
Phone Number
601-984-1000
Fax Number
person
Provider Business Mailing Address Details
Address
2500 N State St
City
State
Zip
39216-4500
Phone Number
601-984-1000
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Gerontology
Taxonomy
License No.
R850494 (Mississippi)
Definition
Definition to come...
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