Individual
JARVIS DESHUNN SCOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CSS
Contact information
Practice address
341 EDGEWOOD TERRACE DR, JACKSON, MS 39206-6217
(601) 487-6344
(601) 398-0289
Mailing address
341 EDGEWOOD TERRACE DR, JACKSON, MS 39206-6217
(601) 487-6344
(601) 398-0289
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
10/27/2023
Last updated
10/27/2023
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