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Organization
JACKSON PUBLIC SCHOOLS DBA BLACKBURN CLINIC
Active
Organization
JACKSON PUBLIC SCHOOLS DBA BLACKBURN 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
1311 W PEARL ST, JACKSON, MS 39203-2841
(601) 354-3346
(601) 352-6436
Mailing address
662 S PRESIDENT ST, JACKSON, MS 39201-5601
(601) 960-8705
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
R629693
MS
Other
Enumeration date
02/21/2007
Last updated
08/22/2020
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