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Jessica Renee Fordham, NP
Family Nurse Practitioner in Jackson, Mississippi
NPI 1982953402

Jessica Renee Fordham is a Family Nurse Practitioner based in Jackson, MS and is specialized in Family. Jessica Renee Fordham practices in Jackson, MS and has the professional credentials of NP. The NPI Number for Jessica Renee Fordham is 1982953402 and holds a License No. 880822 (Mississippi).

The current practice location address for Jessica Renee Fordham is 3800 I-55 North Frontage Rd, Jackson, MS and can be reached out via phone at 601-200-6880 and via fax at 601-200-6805.

Location: 3800 I-55 North Frontage Rd, Jackson, MS, 39216
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Provider Profile Details
NPI Number
1982953402
Provider Name
Jessica Renee Fordham
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
3800 I-55 North Frontage Rd, Jackson, MS, 39216
Phone Number
601-200-6880
Fax Number
601-200-6805
Provider Enumeration Date
08/29/2012
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
007388276 05 MS
institution
Provider Business Practice Location Address Details
Address
3800 I-55 North Frontage Rd
City
State
Zip
39216
Phone Number
601-200-6880
Fax Number
601-200-6805
person
Provider Business Mailing Address Details
Address
3800 I-55 North Frontage Rd
City
State
Zip
39216
Phone Number
601-200-6880
Fax Number
601-200-6805
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
880822 (Mississippi)
Definition
Definition to come...
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