NPI 1124155809

Mississippi Baptist Medical Center, INC.

Organisation Psychologist Jackson, MS

Practice location

Address: 1225 N State St, Jackson, MS 39202-2064
Phone: (601) 968-1362
Fax: (601) 292-4592
Mailing address: 350 N Humphreys Blvd, Memphis, TN 38120-2177

Authorised official

Name: Gregory M Duckett
Title: Sr Vp/ Clo
Phone: (901) 227-5233

Registered specialties (2)

Psychologist Primary

Behavioral Health & Social Service Providers Taxonomy 103T00000X

Other Psychologist providers in Mississippi →

Certified Registered Nurse Anesthetist

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 367500000X

Other Nurse Anesthetist, Certified Registered providers in Mississippi →

Registry record

NPI: 1124155809
Entity type: Organization
NPI issued: 28 Feb 2007
Record last updated: 30 Sep 2020

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.