IndividualActive
Julie Wyatt, MD
NPI 1053532226 · Dermatology Physician · Jackson, MS
Provider details
- NPI number
- 1053532226
- Entity type
- Individual
- Primary specialty
- Dermatology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Female
- Sole proprietor
- Yes
- License
- 20645 (MS)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
3000 Old Canton Rd Ste 430
Jackson, MS 39216
Phone: (601) 982-5441
Fax: (601) 982-5442
Approximate (ZIP-level) locationGet directions
Mailing address
3000 Old Canton Rd Ste 430
Jackson, MS 39216-4225
Registry dates
- Enumerated
- 2007-05-02
- Last updated
- 2018-08-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.