Individual
JODY T ADAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CFNP
Contact information
Practice address
728 CLINTON PKWY, SUITE B, CLINTON, MS 39056-5227
(601) 200-4800
(601) 924-0473
Mailing address
587 HIGHWAY 51 STE T, RIDGELAND, MS 39157-2567
(601) 790-7711
(601) 790-7712
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R688797
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00124952
—
MS
01
—
168390703
US DEPT OF LABOR
MS
01
—
753068151
MS HEALTH PARTNERS
MS
01
—
753068151001
TRICARE
MS
01
—
P00062082
RR MEDICARE
MS
Enumeration date
03/09/2006
Last updated
12/08/2020
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