JACKSON NEUROCARE, PLLC – NPI #1770987638
Psychiatry & Neurology

A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.

Health Care Provider Taxonomy Code for Psychiatry & Neurology

JACKSON NEUROCARE, PLLC is a psychiatry & neurologist located in JACKSON, MS. NPPES has assigned the NPI number 1770987638 to JACKSON NEUROCARE, PLLC on October 21, 2014. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 2084N0400X from the Health Care Provider Taxonomy code set, which is classified as Psychiatry & Neurology, specializing in Neurology

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for JACKSON NEUROCARE, PLLC below.

NPI Profile for
JACKSON NEUROCARE, PLLC

NPI Number
1770987638
Enumeration Date

(more than 11 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
JACKSON NEUROCARE, PLLC
Primary location
971 LAKELAND DRIVE
SUITE 557, WEST TOWER
JACKSON, MS 39216-4607
Phone: (601) 939-0361 Fax: (601) 939-5210
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
RUTH FREDERICKS
OWNER
Phone: (601) 939-0361
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
2084N0400X
- Psychiatry & Neurology / Neurology (Primary)		 MS 11722

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.