AQFA SULTANA


Address: 3502 W Northside Dr, Jackson, MS 39213-4454
Phone: 6013645142

AQFA SULTANA (NPI# 1700076940) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1700076940
Entity Type Individual
Full Name AQFA SULTANA
Practice Address 3502 W Northside Dr
Jackson
MS 39213-4454
Practice Telephone 6013645142
Practice Fax Number 6013645159
Mailing Telephone 6013645142
Mailing Fax Number 6013645159
Enumeration Date 2007-07-25
Last Update Date 2020-09-23
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207QA0505X Family Medicine
Specialization: Adult Medicine
21234 MS Allopathic & Osteopathic Physicians
N 390200000X Student in an Organized Health Care Education/Training Program Student, Health Care

Other Provider Identifier

State Issuer Identifier Type Code
LA 09964 05
MS 07331261 05

Office Location

Street Address 3502 W NORTHSIDE DR
City JACKSON
State MS
Zip Code 39213-4454

Providers in the same location

NPI Name Taxonomy Address Enumeration
1952386559 Laboratory Corporation of America Holdings Clinical Medical Laboratory 3502 W Northside Dr, Jackson, MS 39213-4454 2005-12-07
1689217812 Ebony Martin Case Manager/Care Coordinator 3502 W Northside Dr, Jackson, MS 39213-4454 2019-10-21
1275189938 April Terrain Perry Nurse Practitioner 3502 W Northside Dr, Jackson, MS 39213 2019-08-16
1013473891 Ericia Latrice Cannon Nurse Practitioner 3502 W Northside Dr, Jackson, MS 39213-4454 2019-02-16
1578037172 Jennifer Henley Internal Medicine 3502 W Northside Dr, Jackson, MS 39213-4454 2019-01-16
1003388968 Tiffani Ricchele Mcknight Social Worker 3502 W Northside Dr, Jackson, MS 39213-4454 2018-12-17
1356810360 Thrishanna Clark Nurse Practitioner 3502 W Northside Dr, Jackson, MS 39213-4454 2018-11-19
1376034660 Sirna Musa Nurse Practitioner 3502 W Northside Dr, Jackson, MS 39213-4454 2018-05-23
1033649058 Central Mississippi Civic Improvement Association, Inc. Clinic/Center 3502 W Northside Dr, Jackson, MS 39213-4454 2017-06-13
1013451780 Katrice Pacley Andrews Nurse Practitioner 3502 W Northside Dr, Jackson, MS 39213-4454 2016-12-14
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1679117980 Cynthia Bailey Technician 916 Carnation Street, Jackson, MS 39213 2019-10-30
1871136374 Shirley Collins Williams Technician 3132 Sage St, Jackson, MS 39213 2019-10-28
1275057069 Nikita Patel Pharmacist 830 West Woodrow Wilson Avenue, Jackson, MS 39213 2017-08-02
1346782893 Mississippi Smiles Dentistry LLC Dentist 310 W Woodrow Wilson Ave, 400, Jackson, MS 39213 2016-11-15
1730637521 Ms Eyecare Associates of Jackson, Pllc. Optometrist 310 West Woodrow Wilson Avenue Suite 300, Jackson, MS 39213 2016-09-21
1518410778 Assurance Home Health Services, LLC Health Maintenance Organization 1771 Hamilton Blvd., Jackson, MS 39213 2016-07-25
1831576180 Dorothy Jeffries Anderson Counselor 350 Woodrow Wilson Ave, Jackson, MS 39213 2015-05-06
1740697275 Sincere Home Care LLC. Chore Provider 5911 Holmes Ct, Jackson, MS 39213 2014-07-16
1629401088 Deborah Diane Wright Assisted Living Facility 5911 Holmes Court, Jackson, MS 39213 2013-08-20
1245663251 Methodist Home Road Living Center Licensed Practical Nurse 4560 Methodist Home Road, Jackson, MS 39213 2013-08-13
Find all providers in zip 39213

Taxonomy Information

Taxonomy Code 207QA0505X
Grouping Allopathic & Osteopathic Physicians
Classification Family Medicine
Specialization Adult Medicine

Taxonomy Definition

Definition to come.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1821032392 Rachel Antonia Jones Family Medicine 866 Medical Plz, Jackson, MS 39204-4948 2006-06-15
1124072723 Lynda Catherine Hammond Family Medicine 517 Wildwood Ave, Suite B, Jackson, MI 49201-1044 2006-05-19
1023078128 Robert D. Langer Family Medicine 555 E. Broadway, Suite 108, Jackson, WY 83001 2006-03-24
1922006279 Virgil Isaac Aultman Family Medicine 2747 Old Canton Rd, Jackson, MS 39216-4308 2005-07-11
1356856561 Cassandra Amos Walters Family Medicine 1850 Chadwick Dr, Jackson, MS 39204-3404 2017-12-11
1679773113 Rajvinder Singh Hanspal Family Medicine 1815 Hospital Dr, Jackson, MS 39204-3425 2007-07-23
1942341714 Billy Ray Register Family Medicine 5002 Hwy 10, Jackson, LA 70748-0438 2007-02-12
1629179171 Larry D Farr Family Medicine 3235 E Michigan Ave, Jackson, MI 49202-3971 2006-09-26
1770519142 Debra Rice Family Medicine 3502 W Northside Dr, Jackson, MS 39213-4454 2006-06-25
1699718700 Weymoth Crowell Family Medicine 3502 W Northside Dr, Jackson, MS 39213-4454 2006-06-14
Find all providers in JACKSON

Competitor

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City JACKSON
Zip Code 39213

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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