Individual
DR. NICHOLAS BARRANCO JEW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1325 E FORTIFICATION ST, JACKSON, MS 39202
(601) 354-4488
Mailing address
5861 KRISTEN DR, JACKSON, MS 39211-2831
(601) 260-5493
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
25377
MS
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/26/2012
Last updated
07/11/2018
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