Shields, Jennifer Denise

Shields, Jennifer Denise is an individual health care provider with primary practice located at 102 Brickerton St , Columbus MS 39701-3608. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Marriage & Family Therapist, Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Shields, Jennifer Denise can be contacted via phone (662) 570-1109.

Contact Information

Primary practice address
102 Brickerton St Columbus MS 39701-3608
Phone: (662) 570-1109
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X
Behavioral Health & Social Service Providers / Mental Health 101YM0800X

Profile Details

NPI number 1891551503
LBN Legal business name Shields, Jennifer Denise
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 21st, 2024
Last updated Feb 21st, 2024 - about last year

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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