NPI 1629365358 · live from the CMS NPI Registry
Joanna Diane Bayles, D,I,
Family Medicine in Jackson, MS. National Provider Identifier 1629365358, active.
NPI record
| NPI | 1629365358 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Family Medicine 207Q00000X |
| Practice location | 878 Lakeland Dr, Jackson, MS 39216 |
| Practice phone | 601-984-6800 |
| Mailing address | Po Box 4999, Jackson, MS 39296 |
| Enumerated | July 1, 2011 |
| Last updated | July 1, 2011 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Medicine primary | 207Q00000X | T-2402 (MS) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.