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General NPI Number Information
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NPI Number | 1225849268
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Entity Type | Individual
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Provider Name | SHERRALL LECELLA JENKINS OD
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Gender | Female
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Dates
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Enumeration Date | 01/17/2025
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Last Update Date | 12/15/2025
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Provider Practice Location Address
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Address Line | 7118 S SIWELL RD STE B-1
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City | BYRAM
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State | MS
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Zip | 39272-8744
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Country | US
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Telephone | 601-373-0354
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Fax |
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Provider Business Mailing Address
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Address Line | 310 W WOODROW WILSON AVE STE 300
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City | JACKSON
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State | MS
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Zip | 39213-7697
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Country | US
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Telephone | 601-366-9020
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Fax | 601-321-3979
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 1113
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License Number State | MS
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Taxonomy #2
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 11565
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License Number State | TX
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