| NPI | 1285305060 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIFFANY JACKSON Family Nurse Practitioner 601-623-9245 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 364SF0001X Clinical Nurse Specialist Family Health |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family |
| Enumeration Date | 2021-09-22 |
| Last Update Date | 2021-09-22 |