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Contact Information

JENNIFER RICHARDSON, NNP
1991 LAKELAND DR STE C
JACKSON, MS39216-5000
 Phone: 601-981-5887
 Fax: 601-981-7935
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Neonatal, Critical Care

363LN0005X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for JENNIFER RICHARDSON · (Female)

NPI Number 1164683702
Status Active
Credentials NNP
Entity Individual
Enumeration date 06/17/2008
Last updated 06/12/2012 - About 14 years ago
Sole proprietor 1 No
Identifiers
  • MS License # R855650
  • MS Medicaid 06939583
Hospital affiliation(s) Not Available
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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