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General NPI Number Information
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NPI Number | 1508029778
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Entity Type | Organization
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Legal Business Name | VINOD K ANAND
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Dates
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Enumeration Date | 07/08/2008
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Last Update Date | 07/09/2010
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Provider Practice Location Address
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Address Line | 501 MARSHALL STREET SUITE 602
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City | JACKSON
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State | MS
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Zip | 39202
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Country | US
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Telephone | 601-969-1910
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Fax | 601-969-1913
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Provider Business Mailing Address
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Address Line | PO BOX 1000 501 MARSHALL STREET SUITE 602
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City | JACKSON
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State | MS
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Zip | 39215
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Country | US
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Telephone | 601-969-1910
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Fax | 601-969-1913
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Authorized Official
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Title or Position | NURSE PRACTITIONER
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Name | MRS. HELEN MOSS MARSHALL
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Credential | FNP
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Telephone | 601-969-1910
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207YP0228X
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Taxonomy Name | Pediatric Otolaryngology Physician
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License Number | 09754
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License Number State | MS
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Taxonomy #2
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Taxonomy Code | 207YS0123X
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Taxonomy Name | Facial Plastic Surgery Physician
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License Number | 09754
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License Number State | MS
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Taxonomy #3
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Taxonomy Code | 207Y00000X
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Taxonomy Name | Otolaryngology Physician
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License Number | 09754
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License Number State | MS
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