Skinner, Jennifer Carolyn

Skinner, Jennifer Carolyn is an individual health care provider with primary practice located at 350 North Mart Plaza Suite M, Jackson MS 39206. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Skinner, Jennifer Carolyn can be contacted via phone (601) 362-8850.

Contact Information

Primary practice address
350 North Mart Plaza Suite M Jackson MS 39206
Phone: (601) 362-8850
Fax: (601) 981-0452
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X C1277 Mississippi

Profile Details

NPI number 1003984196
LBN Legal business name Skinner, Jennifer Carolyn
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 30th, 2006
Last updated Jul 8th, 2007 - about 18 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 1003984196 NPPES
Mississippi MEDICAID 00124149

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