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Contact Information

JACOB MOREMEN, MD
2500 NORTH STATE STREET
JACKSON, MS39216-4500
 Phone: 601-984-5452
 Fax: 601-815-3322
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Thoracic Surgery (Cardiothoracic Vascular Surgery)

208G00000X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for JACOB MOREMEN · (Male)

NPI # 1972743797
Status Active
Credentials MD
Entity Individual
Enumeration date 03/06/2009
Last updated 10/20/2025 - About 8 months ago
Sole proprietor 1 No
Identifiers
  • MS License # 24447
  • MS Medicaid 05089861
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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