Organization
JACKSON PUBLIC SCHOOLS DBA BRINKLEY 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
3535 ALBERMARLE RD, JACKSON, MS 39213-6514
(601) 209-4456
(601) 960-8704
Mailing address
662 S PRESIDENT ST, JACKSON, MS 39201-5601
(601) 960-8705
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R866926
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00457081
—
MS
Enumeration date
02/21/2007
Last updated
08/22/2020
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