Willie Mae M Jessop in Yazoo City - Family
Willie Mae M Jessop - NPI 1952475642
Willie Mae M Jessop is a Family in Yazoo City, Mississippi. Willie Mae M Jessop practices all healthcare services and medical treatments related to Family. The NPI Number for Willie Mae M Jessop is 1952475642. The last update date is 2007-07-08.
Willie Mae M Jessop's current location address is 215 E 5th Street, Yazoo City, Mississippi. You can contact this provider via phone number 6627160691 and fax number 6627160689. The mailing address for Willie Mae M Jessop is 215 E 5th Street, Yazoo City, Mississippi. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Willie Mae M Jessop |
|---|---|
| Address | 215 E 5th Street, Yazoo City, Mississippi |
| Phone Number | 6627160691 |
| Fax Number | 6627160689 |
| Sole Proprietor | N |
| Credentials | CFNP |
NPI Number Detail
| NPI Number | 1952475642 |
|---|---|
| Provider Enumeration Date | 2006-11-17 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 215 E 5th Street |
|---|---|
| City | Yazoo City |
| State | Mississippi (MS) |
| Post Code | 39194 |
| Phone Number | 6627160691 |
| Fax Number | 6627160689 |
Provider's Primary Taxonomy Detail
| Speciality | Family |
|---|---|
| Taxonomy | 363Lf0000X |
| Licence No | R107300 |
|
Definition: An advanced practice registered nurse expert in primary healthcare for patients of all ages. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 118259 | MS | -- |
Post Comment/ Review Below
What is the unique identification code assigned to Willie Mae M Jessop by the Centers for Medicare & Medicaid Services?
The Willie Mae M Jessop has been issued the NPI (National Provider Identifier) 1952475642. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Willie Mae M Jessop?
The Willie Mae M Jessop is physically situated at 215 E 5Th Street, in the city of Yazoo City, state of MS, with the postal code 39194.
What is Willie Mae M Jessop's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Willie Mae M Jessop is Family, and the taxonomy classification code that categorizes this area of expertise is 363Lf0000X.
On what date did Willie Mae M Jessop receive its 1952475642 assignment from the Centers for Medicare & Medicaid Services?
The Willie Mae M Jessop was assigned its 1952475642 on 2006-11-17, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information related to Willie Mae M Jessop most recently updated or refreshed?
The details pertaining to the Willie Mae M Jessop, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-08.
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