OrganizationActive
Mooreco
NPI 1942392717 · Preferred Provider Organization · Jackson, MS
Provider details
- NPI number
- 1942392717
- Entity type
- Organization
- Primary specialty
- Preferred Provider OrganizationManaged Care Organizations
- Organization subpart
- No
- Authorized official
- Jerry Perry, Rph(601) 355-2438
- License
- 01086/01.1 (MS)
Specialties & taxonomies
Managed Care Organizations
Practice location
1700 Terry Rd
Jackson, MS 39204-3907
Phone: (601) 355-2438
Fax: (601) 948-0418
Approximate (ZIP-level) locationGet directions
Mailing address
1700 Terry Rd
Jackson, MS 39204-3907
Registry dates
- Enumerated
- 2006-09-29
- 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.