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Organization
JACKSON PUBLIC SCHOOLS DBA BRINKLEY CLINIC
Active
Organization
JACKSON PUBLIC SCHOOLS DBA BRINKLEY CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EARL WATKINS PH.D. (SUPERINTENDENT)
(601) 960-8700
Entity
Organization
Contact information
Practice address
3535 ALBERMARLE RD, JACKSON, MS 39213-6514
(601) 209-4456
(601) 960-8704
Mailing address
662 S PRESIDENT ST, JACKSON, MS 39201-5601
(601) 960-8705
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R866926
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00457081
—
MS
Enumeration date
02/21/2007
Last updated
08/22/2020
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