Whalio Doctors

NPI 1356701783

Kids First Pediatric & Adult Medicine, LLC

Organisation Family Health Clinical Nurse Specialist Hazlehurst, MS

Practice location

Address
529 Lake St STE B, Hazlehurst, MS 39083-2226
Phone
(601) 668-8400
Fax
(601) 623-9246
Mailing address
PO Box 495, Jackson, MS 39205-0495

Authorised official

Name
Tiffany Rochelle Jackson
Title
Family Nurse Practitioner
Phone
(601) 668-8400

Registered specialties (2)

Family Health Clinical Nurse Specialist Primary
Physician Assistants & Advanced Practice Nursing Providers Taxonomy 364SF0001X
Pediatric Clinical Nurse Specialist
Physician Assistants & Advanced Practice Nursing Providers Taxonomy 364SP0200X Licence R881238 (MS)

Registry record

NPI
1356701783
Entity type
Organization
NPI issued
26 Feb 2016
Record last updated
18 Sep 2021

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.