Individual
JUDITH WARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
350 W WOODROW WILSON AVE, JACKSON, MS 39213-7681
(601) 364-2666
Mailing address
350 W WOODROW WILSON AVE, JACKSON, MS 39213-7681
(601) 364-2666
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
R106480
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00124032
—
MS
Enumeration date
02/20/2007
Last updated
07/09/2007
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