Individual
JINNA M SHEPHERD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
969 LAKELAND DR, JACKSON, MS 39216-4606
(601) 200-4644
(601) 200-4645
Mailing address
PO BOX 23666, JACKSON, MS 39225-3666
(601) 200-4749
(601) 200-5929
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
14420
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00118336
—
MS
05
—
1130567
—
LA
01
—
RR 110167922
RAILROAD
MS
Enumeration date
07/10/2006
Last updated
06/23/2015
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