Richardson, Jennifer

Richardson, Jennifer is an individual health care provider with primary practice located at 1991 Lakeland Dr Ste C , Jackson MS 39216-5000. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Neonatal, Critical Care, which is considered as her primary health care specialty. Richardson, Jennifer can be contacted via phone (601) 981-5887.

Contact Information

Primary practice address
1991 Lakeland Dr Ste C Jackson MS 39216-5000
Phone: (601) 981-5887
Fax: (601) 981-7935
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Neonatal, Critical Care 363LN0005X R855650 Mississippi

Profile Details

NPI number 1164683702
LBN Legal business name Richardson, Jennifer
Credentials NNP
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 17th, 2008
Last updated Jun 12th, 2012 - about 12 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 1164683702 NPPES
Mississippi MEDICAID 06939583

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