Individual
MRS. ELIZABETH LEIGH JACKSON YATES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
1850 CHADWICK DR, JACKSON, MS 39204-3404
(601) 376-2945
Mailing address
1850 CHADWICK DR, JACKSON, MS 39204-3404
(601) 376-2945
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
872496
MS
363LF0000X
Family Nurse Practitioner
R872496
MS
Other
Enumeration date
08/15/2010
Last updated
08/15/2022
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