IndividualActive
Loretta Jelks
NPI 1013567213 · Attendant Care Provider · Jackson, MS
Provider details
- NPI number
- 1013567213
- Entity type
- Individual
- Primary specialty
- Attendant Care ProviderNursing Service Related Providers
- Sex
- Female
- Sole proprietor
- Yes
Specialties & taxonomies
Nursing Service Related Providers
Practice location
1500 E Woodrow Wilson Ave
Jackson, MS 39216-5116
Phone: (601) 362-4471
Approximate (ZIP-level) locationGet directions
Mailing address
117 Trace Wood Cv
Clinton, MS 39056-3914
Registry dates
- Enumerated
- 2019-09-19
- Last updated
- 2019-09-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.