Provider Demographics
NPI:1912927526
Name:ARNOLD-BRITT, JEANETTE L (FNP)
Entity Type:Individual
Prefix:
First Name:JEANETTE
Middle Name:L
Last Name:ARNOLD-BRITT
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:JEANETTE
Other - Middle Name:L
Other - Last Name:ARNOLD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:878 LAKELAND DR
Mailing Address - Street 2:LB-BUILDING
Mailing Address - City:JACKSON
Mailing Address - State:MS
Mailing Address - Zip Code:39216-4500
Mailing Address - Country:US
Mailing Address - Phone:601-815-1078
Mailing Address - Fax:601-926-4971
Practice Address - Street 1:878 LAKELAND DR
Practice Address - Street 2:LB-BUILDING
Practice Address - City:JACKSON
Practice Address - State:MS
Practice Address - Zip Code:39216-4500
Practice Address - Country:US
Practice Address - Phone:601-815-1078
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-07-20
Last Update Date:2023-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MSR687995363L00000X, 363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
MS00122511Medicaid
MSP00741643Medicare PIN
MSS84394Medicare UPIN
MS302I507061Medicare PIN