Organization
JACKSON WOMEN'S HEALTH ORGANIZATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHANNON BREWER (OFFICE ADMINISTRATOR)
(601) 366-2261
Entity
Organization
Contact information
Practice address
2903 N STATE ST, JACKSON, MS 39216-4202
(601) 366-2261
(601) 362-5973
Mailing address
2903 N STATE ST, JACKSON, MS 39216-4202
(601) 366-2261
(601) 362-5973
Taxonomy
Speciality
Code
Description
License number
State
261QF0050X
Non-Surgical Family Planning Clinic/Center
Primary
005
MS
Other
Enumeration date
07/01/2015
Last updated
07/01/2015
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