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

JENSEN CIACCI, PA

Active Sole Proprietor

JENSEN CIACCI, PA is a Physician Assistant healthcare provider located in LAUREL, Mississippi. NPI 1902650195 is currently active in the NPPES registry. Verify at CMS.

Physician Assistant · LAUREL, MS

Registration Details

NPI Number
1902650195
Provider Type
Individual
Gender
Female
NPI Issued
Apr 15, 2024 (2.144803097779 yrs)
Last Updated
Oct 4, 2024
Sole Proprietor
Yes

Practice Information

Address
1002 JEFFERSON STREET
STE 400
LAUREL, MS, 39440
Browse MS providers · Browse ZIP 39440
Phone
6016497802
Primary Specialty
Physician Assistant
363A00000X

Other Physician Assistant Providers in LAUREL, MS

Name Credential NPI
MADELYN A BAUCUM PA 1548785850
JEANNA BERKEY PA-C 1891400578
JOHN RYNE SASSER PA 1245060342
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.