Judith M Dial, FNP - Nurse Practitioner in Jackson, MS

Judith M Dial, FNP is a Nurse Practitioner physician based in Jackson, Mississippi. Judith M Dial is licensed to practice in Mississippi (license number R113920) and her current practice location is 2500 North State Street, Department Of Medicine/division Of Infectious Disease, Jackson, Mississippi. She can be reached at her office (for appointments etc.) via phone at (601) 984-5560.

NPI number for Judith M Dial is 1790719250 and her current mailing address is 2500 North State Street, Division Of Infectious Disease, Jackson, Mississippi. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1790719250.

Contact Information

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



Physician's Profile

Full NameJudith M Dial
GenderFemale
SpecialityNurse Practitioner
Location2500 North State Street, Jackson, Mississippi
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1790719250
  • Provider Enumeration Date: 07/10/2006
  • Last Update Date: 03/01/2016

Medical Identifiers

Medical identifiers for Judith M Dial such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1790719250NPI-NPPES
1522813MedicaidLA
04054008MedicaidMS

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207RI0200XInternal Medicine - Infectious Disease R113920 (Mississippi)Secondary
363L00000XNurse Practitioner R113920 (Mississippi)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Judith M Dial is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice 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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