Organization
MID JACKSON FAMILY HEALTH CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GLORIA AREGHAN NURSE PRACTITIONER (PHD,CFNP)
(601) 878-5115
Entity
Organization
Contact information
Practice address
514 E WOODROW WILSON AVE # C, JACKSON, MS 39216-4538
(601) 981-7198
Mailing address
514 E WOODROW WILSON AVE # C, JACKSON, MS 39216-4538
(601) 981-7198
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
R831972
MS
Other
Enumeration date
05/10/2011
Last updated
05/10/2011
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