St Dominic Neuroscience Center is a Neurology Clinic in Jackson, Mississippi. This organization is also known as sub part of St Dominic Jackson Memorial Hospital. It is located at 971 Lakeland Dr, Suite 557, Jackson, MS and its contact number is 601-200-4560. The authorized person for St Dominic Neuroscience Center is Danielle Stuart
who is Credentialing Specialist of the clinic and his/her contact number is 601-200-4880. Other organizations associated with this clinic are St Dominic Medical Associates Llc, Ruth K. Fredericks, M.d., Jackson Neurology Associates, The primary license number for St Dominic Neuroscience Center is 21151 (Neurology) in Mississippi. St Dominic Neuroscience Center Clinic specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
Complete Clinic Profile:
St Dominic Neuroscience Center Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
Name:
St Dominic Neuroscience Center
Specialization:
Neurology
Clinic Address:
971 Lakeland Dr, Suite 557, Jackson, Mississippi, 39216-4643
Phone:
601-200-4560
Fax:
601-200-4850
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
Name:
Danielle Stuart
Position:
Credentialing Specialist
Contact Number:
601-200-4880
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for St Dominic Neuroscience Center clinic are as mentioned below.
NPI Number:
1215350152
Parent Organization:
St Dominic Jackson Memorial Hospital
NPI Enumeration Date:
29 Jan, 2014
NPI Last Update On:
28 Oct, 2019
Other Associated Organizations:
Other organizations which are associated with this clinic are as mentioned below. These organization share the same address but have similar or different specialization.
Speciality of these organizations are also mentioned below.
Name
Specialization
NPI Number
St Dominic Medical Associates Llc
Neurology
1215350152
Ruth K. Fredericks, M.d.
Neurology
1427007400
Jackson Neurology Associates
Neurology
1942231543
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for St Dominic Neuroscience Center are as mentioned below.
Specialization
License Number
State
Status
Neurology
21151
Mississippi
Primary
Other Medical Identifiers:
Other legacy medical identifiers of the clinic such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
07430597
Medicaid
Mississippi
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
St Dominic Neuroscience Center Po Box 23666, Jackson, Mississippi
Zip:
39225-3666
Phone Number:
601-200-4560
Fax Number:
601-200-4580
Patients can reach St Dominic Neuroscience Center at 971 Lakeland Dr, Suite 557, Jackson, Mississippi or can call to book an appointment on 601-200-4560. *Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 December, 2024.