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Organization
INNOVATIVE HEALTH LLC
Active
Organization
INNOVATIVE HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARIE J WILLIAMS NP (OWNER/CEO)
(601) 968-1690
Entity
Organization
Contact information
Practice address
501 MARSHALL ST STE 605, JACKSON, MS 39202-1650
(601) 968-1690
(601) 968-1693
Mailing address
501 MARSHALL ST STE 605, JACKSON, MS 39202-1650
(601) 968-1690
(601) 968-1693
Taxonomy
Speciality
Code
Description
License number
State
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
06058256
—
MS
Enumeration date
08/20/2009
Last updated
01/17/2020
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