Jimmerson, Carolyn J

Jimmerson, Carolyn J is an individual health care provider with primary practice located at 102 Riverview Dr Ste A , Flowood MS 39232-8908. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / General Practice, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Jimmerson, Carolyn J can be contacted via phone (601) 981-1610.

Contact Information

Primary practice address
102 Riverview Dr Ste A Flowood MS 39232-8908
Phone: (601) 981-1610
Fax: (601) 366-2887
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / General Practice 163WG0000X R868951 Mississippi
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 905623 Mississippi

Profile Details

NPI number 1558018598
LBN Legal business name Jimmerson, Carolyn J
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 9th, 2022
Last updated Dec 30th, 2022 - 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.

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