Organization
UNIVERSITY NURSING ASSOCIATES, PLLC
Active
Other names
Brown Elementary School Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KIM HOOVER PH.D (MANAGING MEMBER)
(601) 984-6270
Entity
Organization
Contact information
Practice address
146 E ASH ST, JACKSON, MS 39202-2217
(601) 984-6271
(601) 815-4119
Mailing address
2500 N STATE ST, JACKSON, MS 39216-4500
(601) 984-6270
(601) 984-6206
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
05074319
—
MS
Enumeration date
07/07/2008
Last updated
05/21/2009
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