Individual
MS. JUDITH ROSEMARY O'JILE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
2500 N STATE ST, JACKSON, MS 39216-4500
(601) 984-5888
(601) 984-5842
Mailing address
2500 N STATE ST, JACKSON, MS 39216-4500
(601) 984-5888
(601) 984-5842
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
36-641
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00120609
—
MS
01
—
620006153
RAILROAD MEDICARE
MS
Enumeration date
06/03/2006
Last updated
06/14/2012
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