Individual
JENNIFER J CAPISTRAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
320 W JACKSON ST, RIDGELAND, MS 39157-2222
(769) 567-1527
Mailing address
320 W JACKSON ST, RIDGELAND, MS 39157-2222
(769) 567-1527
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
904537
MS
Other
Enumeration date
08/05/2021
Last updated
08/14/2026
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