Judith M Dial, FNP | |
2500 North State Street, Department Of Medicine/division Of Infectious Disease, Jackson, MS 39216-4500 | |
(601) 984-5560 | |
(601) 984-5565 |
Full Name | Judith M Dial |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Location | 2500 North State Street, Jackson, Mississippi |
Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1790719250 | NPI | - | NPPES |
1522813 | Medicaid | LA | |
04054008 | Medicaid | MS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RI0200X | Internal Medicine - Infectious Disease | R113920 (Mississippi) | Secondary |
363L00000X | Nurse Practitioner | R113920 (Mississippi) | Primary |
Mailing Address | Practice Location Address |
---|---|
Judith M Dial, FNP 2500 North State Street, Division Of Infectious Disease, Jackson, MS 39216-4500 Ph: (601) 984-5560 | Judith M Dial, FNP 2500 North State Street, Department Of Medicine/division Of Infectious Disease, Jackson, MS 39216-4500 Ph: (601) 984-5560 |
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