Individual
ROCHEL YVETTE THORNTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1500 E WOODROW WILSON AVE, PRIMARY CARE GREEN CLINIC, JACKSON, MS 39216-5116
(601) 362-4471
(601) 368-4089
Mailing address
1500 E WOODROW WILSON AVE, PRIMARY CARE GREEN CLINIC, JACKSON, MS 39216-5116
(601) 362-4471
(601) 368-4089
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
17054
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
09406009
—
MS
01
—
17054
LICENSE NUMBER
MS
Enumeration date
08/16/2006
Last updated
03/07/2023
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us