Organization
JACKSON PSYCHIATRY GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DOUGLAS W. BYRD MD (OWNER)
(601) 366-4696
Entity
Organization
Contact information
Practice address
201 NORTHLAKE AVE, RIDGELAND, MS 39157-1715
(601) 366-4696
(601) 414-9486
Mailing address
201 NORTHLAKE AVE, RIDGELAND, MS 39157-1715
(601) 366-4696
(601) 414-9486
Taxonomy
Speciality
Code
Description
License number
State
103TP0016X
Prescribing (Medical) Psychologist
—
—
2084P0800X
Psychiatry Physician
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
12/02/2010
Last updated
06/19/2025
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