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Organization

ORTHOXPRESS HOLDINGS, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JENNIFER C BULLOCK (PRESIDENT)
(662) 534-2298
Entity
Organization

Contact information

Practice address
3952 N GLOSTER ST STE C, TUPELO, MS 38804-0913
(662) 350-0737
(662) 534-2330
Mailing address
206 OXFORD RD, NEW ALBANY, MS 38652-3115
(662) 534-2227
(662) 536-7520

Taxonomy

Speciality
Code
Description
License number
State
213ES0131X
Foot Surgery Podiatrist
261QM2500X
Medical Specialty Clinic/Center
Primary
363AM0700X
Medical Physician Assistant
363LF0000X
Family Nurse Practitioner

Other

Enumeration date
02/24/2020
Last updated
02/12/2026
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