Organization
JEFFERSON COMPREHENSIVE HEALTH CENTER, INC.
Active
Other names
Joseph L. Frazier Elementary School Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
KATRINA MALONE COLLINS (COMPLIANCE OFFICER)
(601) 786-3475
Entity
Organization
Contact information
Practice address
1445 GEORGE F WEST SR BLVD, NATCHEZ, MS 39120-2557
(601) 786-3475
(601) 786-9980
Mailing address
PO BOX 98, FAYETTE, MS 39069-0098
(601) 786-3475
(601) 786-9980
Taxonomy
Speciality
Code
Description
License number
State
363LS0200X
School Nurse Practitioner
Primary
—
—
Other
Enumeration date
11/19/2019
Last updated
11/19/2019
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