JENNIFER SUMRALL GODBOLD

JACKSON, MS
NPI1073797338
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: MS  R865457)
Enumeration Date2007-12-21
Last Update Date2014-12-16
Business Address
Mrs. JENNIFER SUMRALL GODBOLD APRN, BC
2500 NORTH STATE STREET SURGERY
JACKSON, MS 39216
Phone number: 601-984-5678
Mailing Address
Mrs. JENNIFER SUMRALL GODBOLD APRN, BC
2500 N STATE ST
JACKSON, MS 39216-4500
Phone number: 601-984-5678
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