Jennifer Yuson Dozier, NP
Individual provider Active NPI Family Nurse Practitioner · Macon, MS
NPI 1285725838 · NPPES record last updated Dec 8, 2009
Key facts
- NPI
- 1285725838
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- R873848 (MS)
- Practice address
- 606 North Jefferson Street
Macon, MS 39341 - Phone
- (662) 726-4264
- Fax
- (662) 726-4204
- NPI assigned
- Sep 27, 2006
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | R873848 | MS | Yes |
Addresses
Primary practice location
606 North Jefferson Street
Macon, MS 39341
Mailing address
1010 11TH St N
Columbus, MS 39701-3502
Phone (205) 270-2212
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 06184228 | Medicaid | MS |
Other providers in Macon, MS
- Crawford Health Clinic, LLC
- Crawford Mobile Health Clinic
- Katherine Dalstra
- Roxie Joy Dickson
- Shalena Dixon
- Alan L Ezell I
- Geraldine Farmer
- Addie Grace Fetcko
- Brittany Fields
- Vernessa Foote
All providers in Macon, MS · Family Nurse Practitioner in Mississippi
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 8, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.