NPI 1851068324

Jackson Free Clinic

Organisation Voluntary or Charitable Agency Jackson, MS

Practice location

Address: 925 Martin Luther King Jr Dr, Jackson, MS 39203-2233
Phone: (601) 355-5161
Mailing address: PO Box 4892, Jackson, MS 39296-4892

Authorised official

Name: Hali Peterson
Title: Chair of the Board
Phone: (601) 355-5161

Registered specialties

Voluntary or Charitable Agency Primary

Agencies Taxonomy 251V00000X

Other Voluntary or Charitable providers in Mississippi →

Registry record

NPI: 1851068324
Entity type: Organization
NPI issued: 24 Aug 2021
Record last updated: 21 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.