Active NPI
Integrative Skin Care of Mississippi, PLLC
- Dermatology Physician
- Ridgeland, MS
National Provider Identifier
1245868801
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- Legal business name
- INTEGRATIVE SKIN CARE OF MISSISSIPPI, PLLC
- Practice address
- 731 S Pear Orchard Rd Ste 16
Ridgeland, MS 39157-4800 - Phone
- (601) 672-2044
- NPI assigned
- Mar 30, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Jasmine Campbell Hollinger, MD
- Title
- Owner/Ceo
- Phone
- (769) 300-9447
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | Primary |
Addresses
Primary practice location
731 S Pear Orchard Rd Ste 16
Ridgeland, MS 39157-4800
Mailing address
114 Copperridge Dr
Brandon, MS 39042-3700
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Dermatology Physician
- Ridgeland, MS
- NPI 1265729719
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1585526400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1627862400000",
"number": "1245868801",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "114 COPPERRIDGE DR",
"city": "BRANDON",
"state": "MS",
"postal_code": "390423700"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "731 S PEAR ORCHARD RD STE 16",
"city": "RIDGELAND",
"state": "MS",
"postal_code": "391574800",
"telephone_number": "601-672-2044"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "INTEGRATIVE SKIN CARE OF MISSISSIPPI, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-03-30",
"last_updated": "2021-08-02",
"certification_date": "2021-08-02",
"status": "A",
"authorized_official_last_name": "HOLLINGER",
"authorized_official_first_name": "JASMINE",
"authorized_official_middle_name": "CAMPBELL",
"authorized_official_title_or_position": "OWNER/CEO",
"authorized_official_telephone_number": "769-300-9447",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dermatology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ridgeland, MS
- Innovative Behaviorals Services, Inc.
- Inspire Speech and Language, LLC
- Inspired Happiness Therapy and Wellness LLC
- Integrated Care Professionals of Mississippi, LLC
- Integrated Medical and Wellness Clinic of Mississippi LLC
- Intentional Minded Counseling & Consulting LLC
- Internal Medicine & Pediatric Associates
- Intrathecal Care Solutions
- Invictus RX LLC
- Alexis N Irby, FNP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.