Healthcare Provider Details

I. General information

NPI: 1962539577
Provider Name (Legal Business Name): SVENJA J. ALBRECHT M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/28/2007
Last Update Date: 04/08/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2500 NORTH STATE STREET DEPT OF MEDICINE DIVISION OF INFECTIOUS DISEASE
JACKSON MS
39216-4500
US

IV. Provider business mailing address

2500 NORTH STATE STREET INFECTIOUS DISEASE
JACKSON MS
39216-4500
US

V. Phone/Fax

Practice location:
  • Phone: 601-984-5560
  • Fax:
Mailing address:
  • Phone: 601-984-5560
  • Fax: 601-984-5565

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RI0200X
TaxonomyInfectious Disease Physician
License NumberMD421564
License Number StatePA
# 2
Primary TaxonomyY
Taxonomy Code207RI0200X
TaxonomyInfectious Disease Physician
License Number19972
License Number StateMS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: