Individual
DR. JANE KATHERINE HEINOLD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
2500 N STATE ST, JACKSON, MS 39216-4500
(601) 984-1000
Mailing address
2500 N STATE ST, JACKSON, MS 39216-4500
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
T4238
MS
390200000X
Student in an Organized Health Care Education/Training Program
—
KY
Other
Enumeration date
06/16/2019
Last updated
07/26/2021
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