Vanessa L. Sandifer, M.D., PLLC

Primary specialty

Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X

License

20965 Issued in MS

Legal business name

VANESSA L. SANDIFER, M.D., PLLC

Practice address

971 Lakeland Drive
Suite 450
Jackson, MS 39216-0450

Phone

(601) 948-5158

Fax

(601) 949-6058

NPI assigned

Aug 13, 2010

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Vanessa L Sandifer, M.D.

Title

Owner

Phone

(601) 948-5158

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1281657600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1281657600000",
    "number": "1023323029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "971 LAKELAND DR",
            "address_2": "SUITE 450",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392164643",
            "telephone_number": "601-948-5158",
            "fax_number": "601-949-6058"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "971 LAKELAND DRIVE",
            "address_2": "SUITE 450",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392160450",
            "telephone_number": "601-948-5158",
            "fax_number": "601-949-6058"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VANESSA L. SANDIFER, M.D., PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-13",
        "last_updated": "2010-08-13",
        "status": "A",
        "authorized_official_last_name": "SANDIFER",
        "authorized_official_first_name": "VANESSA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "601-948-5158",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "MS",
            "license": "20965",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Penny D. Vance, FNP-BC
• Sabrina Vance, LCSW
• Vanderloo Family Medicine, PLLC
• John P.F.H. Vanderloo, M.D.
• Vanessa Dorado LLC
• Julie Vansice, CFNP, PMHNP
• Ramzi Barnaba Vareldzis, MD
• Destiny Vargas
• Elliot Thomas Varney, MD, PHD
• Neha Varshney, MD

• Endocrinology, Diabetes & Metabolism Physician in Jackson, MS
• Providers in Jackson, MS by specialty
• Endocrinology, Diabetes & Metabolism Physician in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.