Jennifer Sumrall Godbold in Jackson - Family
Jennifer Sumrall Godbold - NPI 1073797338
Jennifer Sumrall Godbold is a Family in Jackson, Mississippi. Jennifer Sumrall Godbold practices all healthcare services and medical treatments related to Family. The NPI Number for Jennifer Sumrall Godbold is 1073797338. The last update date is 2014-12-16.
Jennifer Sumrall Godbold's current location address is 2500 N State St, Jackson, Mississippi. You can contact this provider via phone number 6019845678 and fax number 6019845638. The mailing address for Jennifer Sumrall Godbold is 2500 N State St, Jackson, Mississippi. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jennifer Sumrall Godbold |
|---|---|
| Address | 2500 N State St, Jackson, Mississippi |
| Phone Number | 6019845678 |
| Fax Number | 6019845638 |
| Sole Proprietor | N |
| Credentials | APRN, BC |
NPI Number Detail
| NPI Number | 1073797338 |
|---|---|
| Provider Enumeration Date | 2007-12-21 |
| Last Updated Date | 2014-12-16 |
Provider Mailing Address Detail
| Address | 2500 N State St |
|---|---|
| City | Jackson |
| State | Mississippi (MS) |
| Post Code | 392164500 |
| Phone Number | 6019845678 |
| Fax Number | 6019845638 |
Provider's Primary Taxonomy Detail
| Speciality | Family |
|---|---|
| Taxonomy | 363Lf0000X |
| Licence No | R865457 |
|
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 |
|---|---|---|---|
| 5956046 | MS | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Jennifer Sumrall Godbold by the Centers for Medicare & Medicaid Services?
The Jennifer Sumrall Godbold has been issued the NPI (National Provider Identifier) 1073797338 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you share the physical location details of Jennifer Sumrall Godbold?
The Jennifer Sumrall Godbold is situated at 2500 N State St, in the city of Jackson, state of MS, with the zip code 392164500.
What is Jennifer Sumrall Godbold'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 Jennifer Sumrall Godbold is Family, and the taxonomy classification code that categorizes this area of expertise is 363Lf0000X.
On what date did the Jennifer Sumrall Godbold receive the assignment of its 1073797338 from the Centers for Medicare & Medicaid Services?
The Jennifer Sumrall Godbold was issued its 1073797338 by the Centers for Medicare & Medicaid Services on 2007-12-21.
As of what date were the details pertaining to Jennifer Sumrall Godbold last refreshed?
The information related to the Jennifer Sumrall Godbold, including its address, specialty, and other relevant details, was last updated on 2014-12-16.
NPI Number: 1669475612
Address: 8906 Spanish Ridge Ave Ste 202, Las Vegas, NV
NPI Number: 1912900960
Address: 2350 N University Dr Unit 841423, Pembroke Pines, FL