Organization
BENNDALE ELEMENTARY SCHOOL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JODI THERESA SUMRALL RN, ADN (SCHOOL NURSE)
(601) 947-6993
Entity
Organization
Contact information
Practice address
5204 HIGHWAY 26 W, LUCEDALE, MS 39452-2383
(601) 766-6341
(601) 945-2938
Mailing address
5204 HIGHWAY 26 W, LUCEDALE, MS 39452-2383
(601) 766-6341
(601) 945-2938
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
R872149
MS
Other
Enumeration date
11/18/2013
Last updated
11/18/2013
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