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Organization
JACKSON PUBLIC SCHOOLS CLAUSELL CLINIC
Active
Organization
JACKSON PUBLIC SCHOOLS CLAUSELL CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TAMMY DARLENE CROCKER R.N. (LEAD NURSE)
(601) 209-4456
Entity
Organization
Contact information
Practice address
618 S PRESIDENT ST, JACKSON, MS 39201-5601
(601) 960-8705
Mailing address
3330 HARLEY ST, JACKSON, MS 39209-7239
(601) 960-8705
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
R557579
MS
261QS1000X
Student Health Clinic/Center
Primary
—
—
Other
Enumeration date
08/13/2008
Last updated
08/13/2008
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