Jackson Public Schools Lester Clinic in Jackson - School

Jackson Public Schools Lester Clinic - NPI 1770628943

Jackson Public Schools Lester Clinic is a School in Jackson, Mississippi. Jackson Public Schools Lester Clinic practices all healthcare services and medical treatments related to School. The NPI Number for Jackson Public Schools Lester Clinic is 1770628943. The last update date is 2020-08-22.

Jackson Public Schools Lester Clinic's current location address is 662 S President St, Jackson, Mississippi. You can contact this provider via phone number 6019608705 and fax number 6019608704. The mailing address for Jackson Public Schools Lester Clinic is 662 S President St, Jackson, Mississippi. To know further, please read the information below!

Provider Profile Detail

Provider Organization Jackson Public Schools Lester Clinic
Address 662 S President St, Jackson, Mississippi
Phone Number 6019608705
Fax Number 6019608704
Sole Proprietor --
Credentials --

Authorized Official

Title or Position SUPERINTEN
Authorized Official Name Watkins Earl
Credentials PH.D
Telephone Number 6019608700

NPI Number Detail

NPI Number 1770628943
Provider Enumeration Date 2007-02-21
Last Updated Date 2020-08-22

Provider Mailing Address Detail

Address 662 S President St
City Jackson
State Mississippi (MS)
Post Code 392015601
Phone Number 6019608705
Fax Number 6019608704

Provider's Primary Taxonomy Detail

Speciality School
Taxonomy 163Ws0200X
Licence No R804275
Definition:
A registered nurse based at an elementary, middle or high school providing health services to students.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
4203886 MS --

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FAQs about Jackson Public Schools Lester Clinic

What is the unique identifier code issued to Jackson Public Schools Lester Clinic by the Centers for Medicare & Medicaid Services (CMS)?

The Jackson Public Schools Lester Clinic has been assigned the NPI (National Provider Identifier) 1770628943. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you share the physical location details of Jackson Public Schools Lester Clinic?

The Jackson Public Schools Lester Clinic is situated at 662 S President St, in the city of Jackson, state of MS, with the zip code 392015601.

What is the area of specialization for Jackson Public Schools Lester Clinic, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Jackson Public Schools Lester Clinic is School, and the corresponding taxonomy code that categorizes this area of expertise is 163Ws0200X.

On what date was the 1770628943 assigned to Jackson Public Schools Lester Clinic?

The Jackson Public Schools Lester Clinic was issued its 1770628943 on 2007-02-21, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

When was the information related to Jackson Public Schools Lester Clinic most recently updated or refreshed?

The details pertaining to the Jackson Public Schools Lester Clinic, including its address, specialty, and other relevant information, were last updated or refreshed on 2020-08-22.

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