Jackson Public Schools Dba Galloway Clinic in Jackson - Registered Nurse

Jackson Public Schools Dba Galloway Clinic - NPI 1710022959

Jackson Public Schools Dba Galloway Clinic is a Registered Nurse in Jackson, Mississippi. Jackson Public Schools Dba Galloway Clinic practices all healthcare services and medical treatments related to Registered Nurse. The NPI Number for Jackson Public Schools Dba Galloway Clinic is 1710022959. The last update date is 2020-08-22.

Jackson Public Schools Dba Galloway 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 Dba Galloway Clinic is 662 S President St, Jackson, Mississippi. To know further, please read the information below!

Provider Profile Detail

Provider Organization Jackson Public Schools Dba Galloway 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 1710022959
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 Registered Nurse
Taxonomy 163W00000X
Licence No R857457
Definition:
(1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
4358817 MS --

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FAQs about Jackson Public Schools Dba Galloway Clinic

What is the unique identification code assigned to Jackson Public Schools Dba Galloway Clinic by the Centers for Medicare & Medicaid Services?

The Jackson Public Schools Dba Galloway Clinic has been issued the NPI (National Provider Identifier) 1710022959. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you kindly provide the complete physical address where Jackson Public Schools Dba Galloway Clinic's facilities are geographically located?

The facilities of Jackson Public Schools Dba Galloway Clinic are physically situated at the following location: 662 S President St, Jackson, MS, 392015601.

What is Jackson Public Schools Dba Galloway Clinic's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Jackson Public Schools Dba Galloway Clinic is Registered Nurse, and the corresponding taxonomy classification code for this specialized field is 163W00000X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1710022959 to Jackson Public Schools Dba Galloway Clinic?

The Centers for Medicare & Medicaid Services originally issued the 1710022959 to Jackson Public Schools Dba Galloway Clinic on 2007-02-21.

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

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

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