Individual
DR. JENETTA ANNE OWEN THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
971 LAKELAND DR STE 211, JACKSON, MS 39216-4607
(601) 200-4350
(601) 200-4356
Mailing address
5959 S SHERWOOD FOREST BLVD, BATON ROUGE, LA 70816-6038
(601) 200-4350
(225) 765-9196
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
25072
MS
208600000X
Surgery Physician
T-2609
MS
Other
Enumeration date
06/29/2012
Last updated
11/14/2023
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