Individual
JENNIFER EDEN MCDANIEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CPNP-AC
Contact information
Practice address
2500 N STATE ST, JACKSON, MS 39216-4500
(601) 815-8151
(601) 815-8152
Mailing address
2500 N STATE ST, JACKSON, MS 39216-4500
(601) 815-8151
(601) 815-8152
Taxonomy
Speciality
Code
Description
License number
State
363LP0222X
Critical Care Pediatric Nurse Practitioner
Primary
R858523
MS
Other
Enumeration date
02/14/2011
Last updated
04/25/2017
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