Gina Denise Jefferson in Jackson - Otolaryngology
Gina Denise Jefferson - NPI 1417125535
Gina Denise Jefferson is a Otolaryngology in Jackson, Mississippi. Gina Denise Jefferson practices all healthcare services and medical treatments related to Otolaryngology. The NPI Number for Gina Denise Jefferson is 1417125535. The last update date is 2012-06-05.
Gina Denise Jefferson's current location address is 2500 N State St, Jackson, Mississippi. You can contact this provider via phone number 6019845160. The mailing address for Gina Denise Jefferson is 2500 N State St, Jackson, Mississippi. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Gina Denise Jefferson |
|---|---|
| Address | 2500 N State St, Jackson, Mississippi |
| Phone Number | 6019845160 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1417125535 |
|---|---|
| Provider Enumeration Date | 2008-02-11 |
| Last Updated Date | 2012-06-05 |
Provider Mailing Address Detail
| Address | 2500 N State St |
|---|---|
| City | Jackson |
| State | Mississippi (MS) |
| Post Code | 392164500 |
| Phone Number | 6019845160 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Otolaryngology |
|---|---|
| Taxonomy | 207Y00000X |
| Licence No | 20779 |
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Definition: An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head an |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 20779 | MS | MEDICAL LICENSE |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Gina Denise Jefferson by the Centers for Medicare & Medicaid Services?
The Gina Denise Jefferson has been assigned the NPI (National Provider Identifier) 1417125535 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you share the physical location details of Gina Denise Jefferson?
The Gina Denise Jefferson is situated at 2500 N State St, in the city of Jackson, state of MS, with the zip code 392164500.
What is Gina Denise Jefferson's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Gina Denise Jefferson's specialized field of practice is Otolaryngology, and the corresponding taxonomy code that categorizes this area of specialization is 207Y00000X.
On what date did the Gina Denise Jefferson receive its 1417125535 assignment from the Centers for Medicare & Medicaid Services?
The Gina Denise Jefferson was assigned its 1417125535 by the Centers for Medicare & Medicaid Services on 2008-02-11.
When was the information regarding Gina Denise Jefferson, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Gina Denise Jefferson, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2012-06-05.