Jessica Nicole Hunt, PT

Individual provider Active NPI Physical Therapist · Ridgeland, MS

NPI 1659620599 · NPPES record last updated Sep 6, 2012

Key facts

NPI
1659620599
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapist 225100000X
License
PT 3430 (AR)
Practice address
711 Avignon Dr
Ridgeland, MS 39157
Phone
(601) 605-6777
Fax
(601) 607-1553
NPI assigned
Sep 6, 2012
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
PT 3430ARMDPhysical Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT 3430 AR Yes

Addresses

Primary practice location

711 Avignon Dr
Ridgeland, MS 39157

Mailing address

711 Avignon Dr
Ridgeland, MS 39157
Phone (601) 605-6777

Other providers in Ridgeland, MS

All providers in Ridgeland, MS · Physical Therapist in Mississippi

Sources for this page

Verify at the official NPI Registry.