Individual
KATLYN BARBOUR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1627 PINE RIDGE PL, JACKSON, MS 39211-5708
(601) 213-7600
Mailing address
1627 PINE RIDGE PL, JACKSON, MS 39211-5708
(601) 213-7600
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA18761
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/25/2024
Last updated
04/24/2025
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