Jefferson, Gina Denise

Jefferson, Gina Denise is an individual health care provider with primary practice located at 2500 N State St Department Of Otolaryngology, Jackson MS 39216-4500. She recently has only one registered license in Allopathic & Osteopathic Physicians / Otolaryngology, which is considered as her primary health care specialty. Jefferson, Gina Denise can be contacted via phone (601) 984-5160.

Contact Information

Primary practice address
2500 N State St Department Of Otolaryngology Jackson MS 39216-4500
Phone: (601) 984-5160
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X 20779 Mississippi

Profile Details

NPI number 1417125535
LBN Legal business name Jefferson, Gina Denise
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 11th, 2008
Last updated Jun 5th, 2012 - about 13 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1417125535 NPPES
Mississippi Other 20779 MEDICAL LICENSE

Popular Providers