NPI 1356701783
Kids First Pediatric & Adult Medicine, LLC
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
Pediatric Clinical Nurse Specialist
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.