Search › Mississippi › 376K00000X
Labrintary Jackson
NPI 1952965840 · on the registry since 2019 · sole proprietor
Practice
- Address
- 119 Herman Johnson W
Indianola, MS 38751 - Phone
- (662) 452-6006
Registry record
- Primary taxonomy
- 376K00000X
376K00000X
- Also registered as
- 172A00000X
174200000X - Licence states on file
- MS
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2019-04-25
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Mississippi