IndividualActive
Jaisiri Jaiwatana, M.D.
NPI 1295760049 · Specialist · Jackson, MS
Jaisiri Jaiwatana, M.D. is a Specialist provider in Jackson, MS (NPI 1295760049).
Provider details
- NPI number
- 1295760049
- Entity type
- Individual
- Primary specialty
- SpecialistOther Service Providers
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- MD9250 (DC)
Practice location
1500 E. Woodrow Wilson Drive
Jackson, MS 39216-5199
Phone: (601) 362-4471
Fax: (601) 364-1588
Approximate (ZIP-level) locationGet directions
Mailing address
1500 E. Woodrow Wilson Drive
Jackson, MS 39216-5199
Registry dates
- Enumerated
- 2006-07-11
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.