Deidra Janiece Snell in Jackson - Student In An Organized Health Care Education/training Program
Deidra Janiece Snell - NPI 1811150766
Deidra Janiece Snell is a Student In An Organized Health Care Education/training Program in Jackson, Mississippi. Deidra Janiece Snell practices all healthcare services and medical treatments related to Student In An Organized Health Care Education/training Program. The NPI Number for Deidra Janiece Snell is 1811150766. The last update date is 2016-10-11.
Deidra Janiece Snell's current location address is 5800 Ridgewood Rd, Jackson, Mississippi. You can contact this provider via phone number 6013982934 and fax number 7692163311. The mailing address for Deidra Janiece Snell is 5800 Ridgewood Rd, Jackson, Mississippi. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Deidra Janiece Snell |
|---|---|
| Address | 5800 Ridgewood Rd, Jackson, Mississippi |
| Phone Number | 6013982934 |
| Fax Number | 7692163311 |
| Sole Proprietor | Y |
| Credentials | D.M.D. |
NPI Number Detail
| NPI Number | 1811150766 |
|---|---|
| Provider Enumeration Date | 2008-07-09 |
| Last Updated Date | 2016-10-11 |
Provider Mailing Address Detail
| Address | 5800 Ridgewood Rd |
|---|---|
| City | Jackson |
| State | Mississippi (MS) |
| Post Code | 392112667 |
| Phone Number | 6013982934 |
| Fax Number | 7692163311 |
Provider's Primary Taxonomy Detail
| Speciality | Student In An Organized Health Care Education/training Program |
|---|---|
| Taxonomy | 390200000X |
|
Definition: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1811150766 | MS | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Deidra Janiece Snell by the Centers for Medicare & Medicaid Services (CMS)?
The Deidra Janiece Snell has been assigned the NPI (National Provider Identifier) 1811150766. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you share the physical location details of Deidra Janiece Snell?
The Deidra Janiece Snell is situated at 5800 Ridgewood Rd, in the city of Jackson, state of MS, with the zip code 392112667.
What is Deidra Janiece Snell's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Deidra Janiece Snell's specialized field of practice is Student In An Organized Health Care Education/training Program, and the corresponding taxonomy code that categorizes this area of specialization is 390200000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1811150766 to Deidra Janiece Snell?
The Deidra Janiece Snell received its 1811150766 assignment from the Centers for Medicare & Medicaid Services on 2008-07-09.
As of what date were the Deidra Janiece Snell's details last updated?
The information pertaining to the Deidra Janiece Snell, including its address, specialty, and other details, was most recently updated on 2016-10-11.
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