NPI 1013567213

Loretta Jelks

Practitioner Attendant Care Provider Jackson, MS

Practice location

Address: 1500 E Woodrow Wilson Ave, Jackson, MS 39216-5116
Phone: (601) 362-4471
Mailing address: 117 Trace Wood Cv, Clinton, MS 39056-3914

Registered specialties

Attendant Care Provider Primary

Nursing Service Related Providers Taxonomy 3747A0650X

Other Technician providers in Mississippi →

Registry record

NPI: 1013567213
Entity type: Individual
Sex (as registered): Female
NPI issued: 19 Sep 2019
Record last updated: 19 Sep 2019

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.