NPI 1447989082
Professional Quality Healthcare
Practice location
- Address
- 2310 Highway 80 W STE 2260, Jackson, MS 39204-2383
- Phone
- (769) 867-1455
Authorised official
- Name
- Frederick Bernard Reginal
- Title
- Owner
- Phone
- (769) 867-1455
Registered specialties
Community Health Worker
Primary
Registry record
- NPI
- 1447989082
- Entity type
- Organization
- NPI issued
- 8 Jun 2022
- Record last updated
- 8 Jun 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.