Individual
DR. JACOB MOREMEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2500 NORTH STATE STREET, JACKSON, MS 39216-4500
(601) 984-5452
(601) 815-3322
Mailing address
2500 N STATE ST, JACKSON, MS 39216-4500
(601) 984-5452
(601) 815-3322
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
24447
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
05089861
—
MS
Enumeration date
03/06/2009
Last updated
10/20/2025
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