SearchMississippi374U00000X

Patricia Clayton, PCP

NPI 1811436876 · on the registry since 2017 · sole proprietor

Practice

Address
1421 Dalton St
Jackson, MS 39204
Phone
(601) 941-1949
Organisation at this address
Superior Pro-Care Home Provider
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy
374U00000X
374U00000X
Licence states on file
MS
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2017-02-22

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Mississippi