IndividualActive
Derek Letort, M.D.
NPI 1023202272 · Neurology Physician · Jackson, MS
Provider details
- NPI number
- 1023202272
- Entity type
- Individual
- Primary specialty
- Neurology PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 20226 (MS)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
1200 N State St Ste 420
Jackson, MS 39202-2027
Phone: (601) 355-3353
Fax: (601) 355-3365
Approximate (ZIP-level) locationGet directions
Mailing address
965 Ridge Lake Blvd Ste 103
Memphis, TN 38120-9446
Registry dates
- Enumerated
- 2007-08-30
- Last updated
- 2020-07-08
- Certified
- 2020-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.