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Organization

INNOVATIVE HEALTH LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MARIE J WILLIAMS NP (OWNER/CEO)
(601) 968-1690
Entity
Organization

Contact information

Practice address
501 MARSHALL ST STE 605, JACKSON, MS 39202-1650
(601) 968-1690
(601) 968-1693
Mailing address
501 MARSHALL ST STE 605, JACKSON, MS 39202-1650
(601) 968-1690
(601) 968-1693

Taxonomy

Speciality
Code
Description
License number
State
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
06058256
MS
Enumeration date
08/20/2009
Last updated
01/17/2020
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