Provider Demographics
NPI:1982250353
Name:MCGEE, JALENZA (NP)
Entity Type:Individual
Prefix:
First Name:JALENZA
Middle Name:
Last Name:MCGEE
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1219 HILDRETH RD
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:MS
Mailing Address - Zip Code:39702-8891
Mailing Address - Country:US
Mailing Address - Phone:662-327-7189
Mailing Address - Fax:
Practice Address - Street 1:2207 5TH ST N
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:MS
Practice Address - Zip Code:39705-2211
Practice Address - Country:US
Practice Address - Phone:662-241-7177
Practice Address - Fax:662-241-7176
Is Sole Proprietor?:No
Enumeration Date:2019-08-12
Last Update Date:2021-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MS903403363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily