NPI 1215166798

Jennifer May Madrid Villacorta, MD

Practitioner Physical Medicine & Rehabilitation Physician Jackson, MS

Practice location

Address: 2500 N State St, Jackson, MS 39216-4500
Phone: (601) 984-5706
Fax: (601) 984-5733

Registered specialties

Physical Medicine & Rehabilitation Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208100000X Licence 24333 (MS)

Other Physical Medicine & Rehabilitation providers in Mississippi →

Registry record

NPI: 1215166798
Entity type: Individual
Sex (as registered): Female
NPI issued: 6 Jul 2009
Record last updated: 17 Jan 2017

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.