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Contact Information

JUSTIN L COLE, NP
1203 JEFFERSON ST
LAUREL, MS39440-4354
 Phone: 601-649-2863
 Fax: 601-649-9479
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Gerontology

363LG0600X 50 Nurse Practitioner
 

Nurse Practitioner

363L00000X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for JUSTIN L COLE · (Male)

NPI Number 1588053052
Status Active
Credentials NP (Nurse Practitioner)
Entity Individual
Enumeration date 01/21/2015
Last updated 09/25/2025 - About 8 months ago
Sole proprietor 1 No
Identifiers
  • MS License # 885111
  • MS License # R885111
Hospital affiliation(s)
  • ST DOMINIC-JACKSON MEMORIAL HOSPITAL - (Acute Care)
    969 LAKELAND DR
    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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