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Organization
JACKSON PUBLIC SCHOOLS
Active
Organization
JACKSON PUBLIC SCHOOLS
Active
Other names
Jackson Public Schools Poindexter Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TAMMY D. 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
(601) 960-8704
Mailing address
618 S PRESIDENT ST, JACKSON, MS 39201-5601
(601) 960-8705
(601) 960-8704
Taxonomy
Speciality
Code
Description
License number
State
261QS1000X
Student Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
05154701
—
MS
Enumeration date
04/01/2008
Last updated
04/01/2008
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