OrganizationActive
Julie Wyatt Dermatology Clinic, PLLC
NPI 1114409422 · Dermatology Physician · Jackson, MS
Provider details
- NPI number
- 1114409422
- Entity type
- Organization
- Primary specialty
- Dermatology PhysicianAllopathic & Osteopathic Physicians
- Authorized official
- Julie Wyatt, Owner
- License
- 20645 (MS)
Practice location
3000 Old Canton Rd Ste 430
Jackson, MS 39216-4225
Phone: (601) 982-5441
Fax: (601) 982-5442
Mailing address
3000 Old Canton Rd Ste 430
Jackson, MS 39216-4225
Registry dates
- Enumerated
- 2018-09-04
- Last updated
- 2018-09-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.