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

ST DOMINIC MEDICAL ASSOCIATES LLC

Active Organization

ST DOMINIC MEDICAL ASSOCIATES LLC is a Family Nurse Practitioner organization located in JACKSON, Mississippi. NPI 1508263179 is currently active in the NPPES registry. Verify at CMS.

Family Nurse Practitioner · JACKSON, MS

Registration Details

NPI Number
1508263179
Provider Type
Organization
NPI Issued
Nov 26, 2014 (11.737185070481 yrs)
Last Updated
Oct 18, 2021
License
R886071 (MS)

Practice Information

Address
890 LAKELAND DR
JACKSON, MS, 392164644
Browse MS providers · Browse ZIP 39216
Phone
6012003131
Fax
6012005929
Primary Specialty
Family Nurse Practitioner
363LF0000X

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.