Whalio Doctors

NPI 1003281916

Jennifer Nichols Foreman, AGNPC

Practitioner Nurse Practitioner Jackson, MS

Practice location

Address
2500 N State St, Jackson, MS 39216-4500
Phone
(601) 984-5657
Mailing address
2500 North State Street Jmm Room 2525, Jackson, MS 39216-4500

Registered specialties (2)

Nurse Practitioner Primary
Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363L00000X Licence 901418 (MS)
Registered Nurse
Nursing Service Providers Taxonomy 163W00000X Licence 882741 (MS)

Registry record

NPI
1003281916
Entity type
Individual
Sex (as registered)
Female
NPI issued
2 Dec 2015
Record last updated
24 May 2016

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.