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NPI 1407220627

IndividualActive

Victor Smith, CEO/COO

NPI 1407220627 · Adult Companion · Jackson, MS

Provider details

NPI number: 1407220627
Entity type: Individual
Primary specialty: Adult CompanionNursing Service Related Providers
Credential: CEO/COO
Sex: Male
Sole proprietor: No
License: 421763537 (MS)

Practice location

121 Colonial Gln

Jackson, MS 39211-3305

Phone: (601) 573-8651

More MS providers

Mailing address

121 Colonial Gln

Jackson, MS 39211-3305

Registry dates

Enumerated: 2015-11-26
Last updated: 2015-11-26

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Victor Smith, CEO/COO — NPI 1407220627, Jackson, MS | NPI Central