Individual
JESSICA SIMONE BUTLER DAIGLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1100 BELK BLVD, OXFORD, MS 38655-5242
(662) 636-1000
Mailing address
701 ORION DR, MCDONOUGH, GA 30253-8393
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
2016-00442
NC
208000000X
Pediatrics Physician
26080
MS
208000000X
Pediatrics Physician
35C.003958
OH
208000000X
Pediatrics Physician
MD61323011
WA
208M00000X
Hospitalist Physician
35C.003958
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0180620
—
OH
05
—
2216650
—
WA
Enumeration date
04/05/2011
Last updated
05/05/2026
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