Jett, Katherine Marie

Jett, Katherine Marie is an individual health care provider with primary practice located at 1200 N State St # Ll10 , Jackson MS 39202-2000. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Jett, Katherine Marie can be contacted via phone (601) 352-2273.

Contact Information

Primary practice address
1200 N State St # Ll10 Jackson MS 39202-2000
Phone: (601) 352-2273
Fax: (601) 714-3415
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X R869652 Mississippi

Profile Details

NPI number 1407854938
LBN Legal business name Jett, Katherine Marie
Credentials FAMILY NURSE PRACT.
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 8th, 2005
Last updated Apr 3rd, 2018 - about 8 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1407854938 NPPES
Mississippi MEDICAID 01489305

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