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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MALL SERVICES, LLC

Active Organization

MALL SERVICES, LLC is a Family Nurse Practitioner organization located in JACKSON, Mississippi. NPI 1063659340 is currently active in the NPPES registry. Verify at CMS.

Family Nurse Practitioner · JACKSON, MS

Registration Details

NPI Number
1063659340
Provider Type
Organization
NPI Issued
Jan 8, 2009 (17.570691313522 yrs)
Last Updated
Jan 8, 2009
Licenses
P320574 (MS)
R656046 (MS)

Practice Information

Address
809 N STATE ST
JACKSON, MS, 392022604
Browse MS providers · Browse ZIP 39202
Phone
6019820673
Fax
6019820459
Primary Specialty
Family Nurse Practitioner
363LF0000X
Additional Specialty
Family Nurse Practitioner

Other Family Nurse Practitioner Organizations in JACKSON, MS

Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.