Individual
DR. VALERIE SHORT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3502 W NORTHSIDE DR, JACKSON, MS 39213-4454
(601) 362-5321
(601) 981-2016
Mailing address
PO BOX 3437, JACKSON, MS 39207-3437
(601) 362-5321
(601) 981-2016
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
13295
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00110568
—
MS
Enumeration date
06/05/2006
Last updated
06/27/2011
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