# COGENT HEALTHCARE OF JACKSON MS, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1699726836
- **Authorized official:** SUSAN A. BROWNIE (TREASURER)
- **Authorized official phone:** (615) 377-5630

## Contact information

- **Practice address:** 969 LAKELAND DR, JACKSON, MS 39216-4606
- **Practice address phone:** (601) 362-4890
- **Mailing address:** 5410 MARYLAND WAY, SUITE 300, BRENTWOOD, TN 37027-5064
- **Mailing address phone:** (615) 377-5670
- **Mailing address fax:** (615) 377-1687

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | — |
| 207Q00000X | Family Medicine Physician | — | — | — |
| 207R00000X | Internal Medicine Physician | — | NULL | Yes |
| 207R00000X | Internal Medicine Physician | — | — | Yes |
| 208M00000X | Hospitalist Physician | — | NULL | — |
| 208M00000X | Hospitalist Physician | — | — | — |
| 363A00000X | Physician Assistant | — | NULL | — |
| 363A00000X | Physician Assistant | — | — | — |
| 363L00000X | Nurse Practitioner | — | NULL | — |
| 363L00000X | Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 05/12/2006
- **Last updated:** 07/02/2008