Joanna R Mccollum in Jackson - Nurse Practitioner
Joanna R Mccollum - NPI 1649390782
Joanna R Mccollum is a Nurse Practitioner in Jackson, Mississippi. Joanna R Mccollum practices all healthcare services and medical treatments related to Nurse Practitioner. The NPI Number for Joanna R Mccollum is 1649390782. The last update date is 2013-08-21.
Joanna R Mccollum's current location address is 1860 Chadwick Dr, Jackson, Mississippi. You can contact this provider via phone number 6013762818 and fax number 6013762831. The mailing address for Joanna R Mccollum is 1860 Chadwick Dr, Jackson, Mississippi. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Joanna R Mccollum |
|---|---|
| Address | 1860 Chadwick Dr, Jackson, Mississippi |
| Phone Number | 6013762818 |
| Fax Number | 6013762831 |
| Sole Proprietor | N |
| Credentials | CFNP |
NPI Number Detail
| NPI Number | 1649390782 |
|---|---|
| Provider Enumeration Date | 2007-03-30 |
| Last Updated Date | 2013-08-21 |
Provider Mailing Address Detail
| Address | 1860 Chadwick Dr |
|---|---|
| City | Jackson |
| State | Mississippi (MS) |
| Post Code | 392043463 |
| Phone Number | 6013762818 |
| Fax Number | 6013762831 |
Provider's Primary Taxonomy Detail
| Speciality | Nurse Practitioner |
|---|---|
| Taxonomy | 363L00000X |
| Licence No | R859382 |
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Definition: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certifi |
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What is the Joanna R Mccollum's unique identification number?
The Joanna R Mccollum has been assigned the NPI (National Provider Identifier) Number 1649390782 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you kindly provide the complete physical address where Joanna R Mccollum's facilities are geographically located?
The facilities of Joanna R Mccollum are physically situated at the following location: 1860 Chadwick Dr, Jackson, MS, 392043463.
What is Joanna R Mccollum's specialized field of practice, and what is the corresponding taxonomy classification code?
The Joanna R Mccollum's area of specialization is Nurse Practitioner, and the corresponding taxonomy code that categorizes this field of practice is 363L00000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1649390782 to Joanna R Mccollum?
The Centers for Medicare & Medicaid Services assigned the 1649390782 to Joanna R Mccollum on 2007-03-30.
As of what date were the Joanna R Mccollum's details last updated?
The information pertaining to the Joanna R Mccollum, including its address, specialty, and other details, was most recently updated on 2013-08-21.
NPI Number: 1023014131
Address: 3901 Houma Blvd, Metairie, LA