Black, Jessica Nichole

Black, Jessica Nichole is an individual health care provider with primary practice located at 210 Hospital Cir , Choctaw MS 39350-6781. She recently has only one registered license in Nursing Service Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Black, Jessica Nichole can be contacted via phone (601) 389-4150.

Contact Information

Primary practice address
210 Hospital Cir Choctaw MS 39350-6781
Phone: (601) 389-4150
Fax: (601) 389-4152
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Psychiatric/Mental Health 163WP0808X 907371 Mississippi

Profile Details

NPI number 1053161430
LBN Legal business name Black, Jessica Nichole
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 26th, 2024
Last updated Mar 26th, 2024 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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