IndividualActive
Jacquelyn Mares, MD
NPI 1770977241 · Preventive Medicine/Occupational Environmental Medicine Physician · Jackson, MS
Provider details
- NPI number
- 1770977241
- Entity type
- Individual
- Primary specialty
- Preventive Medicine/Occupational Environmental Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- License
- T-5420 (MS)
Specialties & taxonomies
- Preventive Medicine/Occupational Environmental Medicine PhysicianPrimary2083P0500XLicense T-5420 (MS)
Allopathic & Osteopathic Physicians
Practice location
2500 N State St
Jackson, MS 39216-4500
Phone: (601) 984-2828
Approximate (ZIP-level) locationGet directions
Mailing address
2500 N State St
Jackson, MS 39216-4500
Registry dates
- Enumerated
- 2015-03-23
- Last updated
- 2024-07-05
- Certified
- 2024-07-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.