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

COLTON FERNSTRUM

Active

COLTON FERNSTRUM is a Plastic and Reconstructive Surgery healthcare provider located in JACKSON, Mississippi. NPI 1720661440 is currently active in the NPPES registry. Verify at CMS.

Plastic and Reconstructive Surgery · JACKSON, MS

Registration Details

NPI Number
1720661440
Provider Type
Individual
Gender
Male
NPI Issued
Apr 30, 2021 (5.3031672229555 yrs)
Last Updated
Jul 1, 2021
License
T-4271 (MS)

Practice Information

Address
2500 N STATE ST
JACKSON, MS, 392164500
Browse MS providers · Browse ZIP 39216
Phone
6019844124
Primary Specialty
Plastic and Reconstructive Surgery
2086S0122X

Other Plastic and Reconstructive Surgery Providers in JACKSON, MS

Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.