Judith M Dial, FNP is a
Nurse Practitioner physician based in Jackson, Mississippi. Judith M Dial is licensed to practice in Mississippi (license number R113920) and her current practice location is 2500 North State Street, Department Of Medicine/division Of Infectious Disease, Jackson, Mississippi. She can be reached at her office (for appointments etc.) via phone at
(601) 984-5560.
NPI number for Judith M Dial is 1790719250 and her current mailing address is 2500 North State Street, Division Of Infectious Disease, Jackson, Mississippi. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1790719250.
Physician's Profile
| Full Name | Judith M Dial |
|---|
| Gender | Female |
|---|
| Speciality | Nurse Practitioner |
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| Location | 2500 North State Street, Jackson, Mississippi |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1790719250
- Provider Enumeration Date: 07/10/2006
- Last Update Date: 03/01/2016
Medical Identifiers
Medical identifiers for Judith M Dial such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1790719250 | NPI | - | NPPES |
| 1522813 | Medicaid | LA | |
| 04054008 | Medicaid | MS | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207RI0200X | Internal Medicine - Infectious Disease | R113920 (Mississippi) | Secondary |
| 363L00000X | Nurse Practitioner | R113920 (Mississippi) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Judith M Dial is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Judith M Dial, FNP
2500 North State Street, Division Of Infectious Disease,
Jackson, MS 39216-4500
Ph: (601) 984-5560 | Judith M Dial, FNP
2500 North State Street, Department Of Medicine/division Of Infectious Disease,
Jackson, MS 39216-4500
Ph: (601) 984-5560 |
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