Dial, Judith M.

Dial, Judith M. is an individual health care provider with primary practice located at 2500 North State Street Department Of Medicine/Division Of Infectious Disease, Jackson MS 39216-4500. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Infectious Disease, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Dial, Judith M. can be contacted via phone (601) 984-5560.

Contact Information

Primary practice address
2500 North State Street Department Of Medicine/Division Of Infectious Disease Jackson MS 39216-4500
Phone: (601) 984-5560
Fax: (601) 984-5565
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Infectious Disease 207RI0200X R113920 Mississippi
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X R113920 Mississippi

Profile Details

NPI number 1790719250
LBN Legal business name Dial, Judith M.
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 10th, 2006
Last updated Mar 1st, 2016 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1790719250 NPPES
Louisiana MEDICAID 1522813
Louisiana MEDICAID 04054008

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