JERRY C COLLADO

RIDGELAND, MS
NPI1407081862
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: MS  R862534)
Enumeration Date2009-05-28
Last Update Date2018-08-27
Business Address
-- JERRY C COLLADO CFNP
6919 OLD CANTON RD
RIDGELAND, MS 39157-1268
Phone number: 601-956-0911
Mailing Address
-- JERRY C COLLADO CFNP
2500 NORTH STATE STREET JMM SUITE 2525
JACKSON, MS 39216-4500
Phone number: 601-815-9528
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