Mrs. Jackie C Dyess
Nurse Practitioner - Psychiatric/Mental Health
3550 Highway 468 West
Whitfield
, Mississippi 39193-0157
Mrs. Jackie C Dyess
Nurse Practitioner - Psychiatric/Mental Health
3550 Highway 468 West
Whitfield
, Mississippi 39193-0157
(601) 351-8301
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About
Features
Specialties
- Nurse Practitioner - Psychiatric/Mental Health
Languages spoken
- English
Location
First Address
- Mrs. Jackie C Dyess
- Po Box 157a
- Whitfield, MS
- Zip : 39193-0157
- Fax : (601) 351-8301
- Phone : (601) 351-8000
Second Address
- Mrs. Jackie C Dyess
- 3550 Highway 468 West
- Whitfield, MS
- Zip : 39193-0157
- Fax : (601) 351-8301
- Phone : (601) 351-8000
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Is Mrs. Jackie C Dyess a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LP0808X | Nurse Practitioner - Psychiatric/Mental Health | R853574 | MS |
National Provider Identifier
| NPI | 1003972928 |
|---|---|
| Provider Name | Mrs. Jackie C Dyess |
| First Address | Whitfield, MS 39193-0157 |
| Second Address | Whitfield, MS 39193-0157 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 28/12/2006 |
| Last Update Date | 08/07/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 05859567 | (05) | MS |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.