IndividualActive
Fredia Jenkins
NPI 1164290748 · Group Psychotherapy Psychologist · Jackson, MS
Provider details
- NPI number
- 1164290748
- Entity type
- Individual
- Primary specialty
- Group Psychotherapy PsychologistBehavioral Health & Social Service Providers
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
5345 Highway 18 W
Jackson, MS 39209-9421
Phone: (601) 927-0188
Fax: (601) 398-2254
Approximate (ZIP-level) locationGet directions
Mailing address
904 Watkins Pl
Jackson, MS 39206-3701
Registry dates
- Enumerated
- 2023-12-13
- Last updated
- 2023-12-13
- Certified
- 2023-12-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.