Individual
MS. SUSAN MICHELLE JETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1500 E WOODROW WILSON AVE, JACKSON, MS 39216-5116
(601) 364-1285
(601) 364-1257
Mailing address
601 PARKVIEW DR, RICHLAND, MS 39218-9005
(601) 932-5654
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R668001
MS
Other
Enumeration date
08/21/2006
Last updated
07/08/2007
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