institution
Jackson Public Schools Dba Blackburn Clinic
School Registered Nurse in Jackson, Mississippi
NPI 1780729285

Jackson Public Schools Dba Blackburn Clinic is a School Registered Nurse based in Jackson, MS and is specialized in School. Jackson Public Schools Dba Blackburn Clinic practices in Jackson, MS. The NPI Number for Jackson Public Schools Dba Blackburn Clinic is 1780729285 and holds a License No. R629693 (Mississippi).

The current practice location address for Jackson Public Schools Dba Blackburn Clinic is 1311 W Pearl St, Jackson, MS and can be reached out via phone at 601-354-3346 and via fax at 601-352-6436.

Location: 1311 W Pearl St, Jackson, MS, 39201-5601
institution
Provider Profile Details
NPI Number
1780729285
Provider Name
Jackson Public Schools Dba Blackburn Clinic
Credential
Provider Entity Type
Organization
Address
1311 W Pearl St, Jackson, MS, 39201-5601
Phone Number
601-354-3346
Fax Number
601-352-6436
Provider Enumeration Date
02/21/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
09570093 05 MS
institution
Provider Business Practice Location Address Details
Address
1311 W Pearl St
City
State
Zip
39203-2841
Phone Number
601-354-3346
Fax Number
601-352-6436
person
Provider Business Mailing Address Details
Address
1311 W Pearl St
City
State
Zip
39203-2841
Phone Number
601-354-3346
Fax Number
601-352-6436
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Registered Nurse
Speciality
School
Taxonomy
License No.
R629693 (Mississippi)
Definition
Definition to come...
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