Individual
RENNETTE NICOLE ZAVALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2500 N STATE ST, JACKSON, MS 39216-4500
(601) 929-4625
(864) 560-4413
Mailing address
2500 N STATE ST, JACKSON, MS 39216-4500
(864) 560-4413
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
92873
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
928731
—
SC
Enumeration date
03/25/2019
Last updated
05/18/2026
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up