Grace Gore Sturdivant, AU.D.

Audiologist · Jackson, MS

Individual Active NPI

NPI number 1558636282

Practice location

2500 N State St
Jackson, MS 39216-4500
Phone
(601) 815-6000
Fax
(601) 984-5085

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NPI record

NPI
1558636282
Entity type
Individual (Type 1)
Enumeration date
March 13, 2012
Last updated
March 17, 2014
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Audiologist Primary 231H00000X A3608 MS

About Dr. Sturdivant

Grace Gore Sturdivant, AU.D. is a healthcare provider registered in the NPI registry with the primary taxonomy Audiologist (code 231H00000X). The practice location is 2500 N State St, Jackson, MS 39216-4500. The NPI number 1558636282 was assigned on March 13, 2012 and the record was last updated on March 17, 2014.

Dr. Sturdivant lists a license in the registry: #A3608 (MS) for Audiologist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Grace Gore Sturdivant, AU.D.?

The NPI number is 1558636282.

What is the phone number of Dr. Sturdivant?

The phone number listed for the practice location is (601) 815-6000.

Where is Dr. Sturdivant located?

2500 N State St, Jackson, MS 39216-4500.

What is the taxonomy code for Dr. Sturdivant?

The primary taxonomy code is 231H00000X – Audiologist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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