Individual
MARY EDDINGTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1100 W CAPITOL ST, JACKSON, MS 39203-2635
(601) 944-0091
Mailing address
969 LAKELAND DR, JACKSON, MS 39216-4606
(601) 200-6837
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R082120
MS
Other
Enumeration date
09/05/2014
Last updated
09/05/2014
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