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Contact Information

JESSICA S LAVENDER, MD
1100 HIGHWAY 16 E
CARTHAGE, MS39051
 Phone: 601-267-1195
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internal Medicine

207R00000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for JESSICA S LAVENDER · (Female)

NPI Number 1467711408
Status Active
Credentials MD
Entity Individual
Enumeration date 05/11/2012
Last updated 11/25/2019 - About 7 years ago
Sole proprietor 1 No
Identifiers
  • MS License # 23866
Hospital affiliation(s)
  • ST DOMINIC-JACKSON MEMORIAL HOSPITAL - (Acute Care)
    969 LAKELAND DR
    JACKSON, MS 39216
  • UNIVERSITY OF MISSISSIPPI MED CENTER - (Acute Care)
    2500 N STATE ST
    JACKSON, MS 39216
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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