Dorothy Adcock
Nurse Practitioner, Family in Jackson, MS. Individual provider (NPI-1).
NPI number1851841548
StatusActive
Last updated in NPPESJan 3, 2017
Details
- NPI
- 1851841548
- Entity type
- Individual (NPI-1)
- Name
- Dorothy Adcock
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 6, 2016
- Last updated
- Jan 3, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | 901649 | MS | Yes |
Practice location
2500 N State StJackson, MS 39216-4500
Phone 601-984-6525
Mailing address
2500 N State StJackson, MS 39216-4500
Phone 601-984-6525
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