Jackson Dorris, Kimyuana

Jackson Dorris, Kimyuana is an individual health care provider with primary practice located at 215 Katherine Dr Ste A , Flowood MS 39232-9588. She recently has only one registered license in Allopathic & Osteopathic Physicians / Adult Medicine, which is considered as her primary health care specialty. Jackson Dorris, Kimyuana can be contacted via phone (601) 665-4162.

Contact Information

Primary practice address
215 Katherine Dr Ste A Flowood MS 39232-9588
Phone: (601) 665-4162
Fax: (888) 398-1151
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Adult Medicine 207QA0505X 904207 Mississippi

Profile Details

NPI number 1184222374
LBN Legal business name Jackson Dorris, Kimyuana
Credentials PMHNP, AGNP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 11th, 2020
Last updated Feb 28th, 2024 - about 9 months 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.

Request for update

Popular Providers