Gladney, Cheryl Lynn
Gladney, Cheryl Lynn is an individual health care provider with primary practice located at 1225 N State St , Jackson MS 39202-2064. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hospitalist, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is her primary health care specialty. Gladney, Cheryl Lynn can be contacted via phone (601) 664-1300.Contact Information
Primary practice address
1225 N State St
Jackson MS 39202-2064
Phone: (601) 664-1300
Fax: (601) 292-4262
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | 15993 | Mississippi |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 15993 | Mississippi |
Profile Details
| NPI number | 1366401465 |
|---|---|
| LBN Legal business name | Gladney, Cheryl Lynn |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 20th, 2006 |
| Last updated | Nov 21st, 2023 - about 2 years ago |
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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1366401465 | NPPES |
| Mississippi | MEDICAID | 00123468 |
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