# JCEP,PLLC,

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

## Provider details

- **NPI number:** 1780887133
- **Authorized official:** DR. OLUFEMI OLUSOLA OKUNOREN M.D. (MEDICAL DIRECTOR)
- **Authorized official phone:** (601) 923-6200

## Contact information

- **Practice address:** 2147 HENRY HILL DR, SUITE 109, JACKSON, MS 39204-2001
- **Practice address phone:** (601) 923-6200
- **Practice address fax:** (601) 923-9111
- **Mailing address:** PO BOX 1992, MADISON, MS 39130-1992
- **Mailing address phone:** (601) 923-6200
- **Mailing address fax:** (601) 923-9111

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 08027 | MS | Yes |

## Other

- **Enumeration date:** 06/05/2007
- **Last updated:** 10/22/2007