NPI 1053489260
Ms State Department of Health
Practice location
- Address
- 570 E Woodrow Wilson Ave, Jackson, MS 39216-4538
- Phone
- (601) 906-0879
Authorised official
- Name
- Miranda Hillman
- Title
- Office Director
- Phone
- (601) 906-0879
Registered specialties (2)
Community/Behavioral Health Agency
Primary
Public Health or Welfare Agency
Registry record
- NPI
- 1053489260
- Entity type
- Organization
- NPI issued
- 4 Dec 2006
- Record last updated
- 2 Dec 2022
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.