| Jcep,pllc, | |
|
2147 Henry Hill Dr Suite 109 Jackson MS 39204-2001 | |
| (601) 923-6200 | |
| (601) 923-9111 |
| Full Name | Jcep,pllc, |
|---|---|
| Speciality | Family Medicine |
| Location | 2147 Henry Hill Dr, Jackson, Mississippi |
| Authorized Official Name and Position | Olufemi Olusola Okunoren (MEDICAL DIRECTOR) |
| Authorized Official Contact | 6019236200 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jcep,pllc, Po Box 1992 Madison MS 39130-1992 Ph: (601) 923-6200 | Jcep,pllc, 2147 Henry Hill Dr Suite 109 Jackson MS 39204-2001 Ph: (601) 923-6200 |
| NPI Number | 1780887133 |
|---|---|
| Provider Enumeration Date | 06/05/2007 |
| Last Update Date | 10/22/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780887133 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 08027 (Mississippi) | Primary |
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