NPI 1154784965
Jackson Vamc
Practice location
- Address
- 1500 Woodrow Wilson Ave, Jackson, MS 39216-5116
- Phone
- (615) 355-3451
- Mailing address
- PO Box 94497, Cleveland, OH 44101-4497
Authorised official
- Name
- Erin Potter
- Title
- Npi Team Member
- Phone
- (202) 382-2579
Registered specialties
Psychiatric Residential Treatment Facility
Primary
Registry record
- NPI
- 1154784965
- Entity type
- Organization
- NPI issued
- 30 Mar 2016
- Record last updated
- 4 Oct 2017
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.