Organization
JACKSON PUBLIC SCHOOLS
Active
Other names
Jackson Public Schools Poindexter Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TAMMY D. CROCKER R.N. (LEAD NURSE)
(601) 209-4456
Entity
Organization
Contact information
Practice address
618 S PRESIDENT ST, JACKSON, MS 39201-5601
(601) 960-8705
(601) 960-8704
Mailing address
618 S PRESIDENT ST, JACKSON, MS 39201-5601
(601) 960-8705
(601) 960-8704
Taxonomy
Speciality
Code
Description
License number
State
261QS1000X
Student Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
05154701
—
MS
Enumeration date
04/01/2008
Last updated
04/01/2008
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