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Organization
UNIVERSITY NURSING ASSOCIATES, PLLC
Active
Organization
UNIVERSITY NURSING ASSOCIATES, PLLC
Active
Other names
Johnson Elementary School Health Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KIM HOOVER PH.D. (MANAGING MEMBER)
(601) 984-6270
Entity
Organization
Contact information
Practice address
1339 OAK PARK DR, JACKSON, MS 39213-6804
(601) 713-1642
Mailing address
2500 N STATE ST, JACKSON, MS 39216-4500
(601) 984-6270
(601) 984-6264
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
09014964
—
MS
Enumeration date
04/10/2007
Last updated
05/21/2009
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