OrganizationActive
Upa PLLC Infectious Disease
NPI 1891848651 · Pediatric Infectious Diseases Physician · Jackson, MS
Provider details
- NPI number
- 1891848651
- Entity type
- Organization
- Primary specialty
- Pediatric Infectious Diseases PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Owen Evans, Manager(601) 984-5214
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
2500 N State St
Jackson, MS 39216-4500
Phone: (601) 984-5206
Approximate (ZIP-level) locationGet directions
Mailing address
2500 N State St
Jackson, MS 39216-4500
Registry dates
- Enumerated
- 2007-01-18
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.