Individual
DR. JEFFERSON D PARKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
2500 NORTH STATE STREET, JACKSON, MS 39216-4500
(601) 984-5815
(601) 984-5842
Mailing address
2500 NORTH STATE STREET, JACKSON, MS 39216-4500
(601) 984-5815
(601) 984-5842
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
33 527
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
05582264
—
MS
Enumeration date
07/26/2006
Last updated
10/12/2016
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