MEDICARE: NANCY SELPH

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	104100000X	Social Worker	W1590	MS

General Provider Information

NPI Number	:	1174064547
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NANCY SELPH

Provider Business Mailing Address
First Line	:	2624 SOUTHERLAND ST
Second Line	:
City	:	JACKSON
State	:	MS
Zip	:	39216-4825
Country	:	US
Telephone Number	:	601-974-3093
Fax Number	:	601-366-4287

Provider Business Practice Location Address
First Line	:	2624 SOUTHERLAND ST
Second Line	:
City	:	JACKSON
State	:	MS
Zip	:	39216-4825
Country	:	US
Telephone Number	:	601-974-3093
Fax Number	:	601-366-4287

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/17/2017
Last Update Date	:	03/17/2017

Similar Medicare Providers

1235499351 — STEP UP COUNSELING & CONSULTING
Practice Location Address:

2628 SOUTHERLAND ST , SUITE D
JACKSON, MS
39216-4825

Practice Phone: 601-826-0333
Practice Fax:

1982958716 — DRAKE COUNSELING AND CONSULTING, LLC
Practice Location Address:

2624 SOUTHERLAND ST , SUITE 201
JACKSON, MS
39216-4825

Practice Phone: 601-259-0346
Practice Fax:

1487087607 — KAREN P STEWART
Practice Location Address:

2624 SOUTHERLAND ST
JACKSON, MS
39216-4825

Practice Phone: 601-266-4282
Practice Fax: 601-366-4287

1144656943 — BETHANY CHRISTIAN SERVICES
Practice Location Address:

2624 SOUTHERLAND ST
JACKSON, MS
39216-4825

Practice Phone: 601-366-4282
Practice Fax: 601-366-4287

1174068076 — RACHEAL MARIE PRITCHETT PMHNP-BC
Practice Location Address:

2626 SOUTHERLAND ST STE 100
JACKSON, MS
39216-4825

Practice Phone: 601-376-9144
Practice Fax:

1376074047 — KRISTEN B RIMES LMSW
Practice Location Address:

2624 SOUTHERLAND ST
JACKSON, MS
39216-4825

Practice Phone: 601-366-4282
Practice Fax: 601-366-4287

Directions to “ NANCY SELPH ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.