NPI 1134790132

Reginald Jones

Practitioner Driver Flowood, MS

Practice location

Address: 4701 Lakeland Dr APT 21g, Flowood, MS 39232-9731
Phone: (601) 665-6806

Registered specialties

Driver Primary

Other Service Providers Taxonomy 172A00000X Licence 800879553 (MS)

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Registry record

NPI: 1134790132
Entity type: Individual
Sex (as registered): Male
NPI issued: 9 Jul 2021
Record last updated: 9 Jul 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.