Jackson Public Schools Mcwillie Clinic in Jackson - Clinic/center
Jackson Public Schools Mcwillie Clinic - NPI 1518140599
Jackson Public Schools Mcwillie Clinic is a Clinic/center in Jackson, Mississippi. Jackson Public Schools Mcwillie Clinic practices all healthcare services and medical treatments related to Clinic/center. The NPI Number for Jackson Public Schools Mcwillie Clinic is 1518140599. The last update date is 2007-12-12.
Jackson Public Schools Mcwillie Clinic's current location address is 618 S President St, Jackson, Mississippi. You can contact this provider via phone number 6019608705. The mailing address for Jackson Public Schools Mcwillie Clinic is 618 S President St, Jackson, Mississippi. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Jackson Public Schools Mcwillie Clinic |
|---|---|
| Address | 618 S President St, Jackson, Mississippi |
| Phone Number | 6019608705 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | LEAD NURSE |
|---|---|
| Authorized Official Name | Crocker D Tammy |
| Credentials | R.N. |
| Telephone Number | 6012094456 |
NPI Number Detail
| NPI Number | 1518140599 |
|---|---|
| Provider Enumeration Date | 2007-12-12 |
| Last Updated Date | 2007-12-12 |
Provider Mailing Address Detail
| Address | 618 S President St |
|---|---|
| City | Jackson |
| State | Mississippi (MS) |
| Post Code | 392015601 |
| Phone Number | 6019608705 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinic/center |
|---|---|
| Taxonomy | 261Q00000X |
|
Definition: A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 2074355 | MS | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Jackson Public Schools Mcwillie Clinic by the Centers for Medicare & Medicaid Services?
The Jackson Public Schools Mcwillie Clinic has been issued the NPI (National Provider Identifier) 1518140599, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Jackson Public Schools Mcwillie Clinic?
The Jackson Public Schools Mcwillie Clinic is situated at 618 S President St, in the city of Jackson, state of MS, with the zip code 392015601.
What is Jackson Public Schools Mcwillie Clinic's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Jackson Public Schools Mcwillie Clinic is Clinic/center, and the taxonomy code that categorizes this field of expertise is 261Q00000X.
When was the Jackson Public Schools Mcwillie Clinic's 1518140599 issued?
The Jackson Public Schools Mcwillie Clinic's 1518140599 was issued on 2007-12-12.
As of what date were the Jackson Public Schools Mcwillie Clinic's details last updated?
The information pertaining to the Jackson Public Schools Mcwillie Clinic, including its address, specialty, and other details, was most recently updated on 2007-12-12.
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