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INNOVATIVE HEALTH LLC
NPI 1174755359
Nurse Practitioner - Obstetrics & Gynecology in Jackson, MS

Active since August 20, 2009
501 MARSHALL ST STE 605, JACKSON, MS 39202(601) 968-1690(601) 968-1693 Get Directions Write a Review

NPPES record last updated: January 17, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Innovative Health Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

INNOVATIVE HEALTH LLC (NPI 1174755359) is a healthcare organization registered as an obstetrics & gynecology in Jackson, Mississippi and active in the NPI registry since August 2009. The organization lists Marie J Williams, Owner/ceo, as its authorized official.

NPPES Registry Identity

NPI1174755359
Entity TypeOrganization
Primary Taxonomy363LX0001X
Legal Business NameINNOVATIVE HEALTH LLC
Location Address501 MARSHALL ST STE 605Jackson, MS 39202-1650
Mailing Address501 Marshall St Ste 605Jackson, MS 39202-1650 · (601) 968-1690 · Fax (601) 968-1693
Phone(601) 968-1690
Fax(601) 968-1693
Organization SubpartNo
Authorized OfficialMarie J WilliamsOwner/ceo · (601) 968-1690
Enumeration DateAugust 20, 2009
Last NPPES UpdateJanuary 17, 2020
✔ NPI 1174755359 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Obstetrics & GynecologyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LX0001X
501 MARSHALL ST STE 605, Jackson, MS 39202
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Other Identifiers 1

Medicaid06058256MS

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Innovative Health LLC's NPI number?

The NPI number for Innovative Health LLC is 1174755359. It was assigned to this organization in the NPPES registry on August 20, 2009.

Where is Innovative Health LLC located?

Innovative Health LLC is located at 501 Marshall St Ste 605, Jackson, MS 39202. The listed phone number is (601) 968-1690.

What is Innovative Health LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Obstetrics & Gynecology, with taxonomy code 363LX0001X.

When was this NPI record last updated?

The NPPES record for Innovative Health LLC was last updated on January 17, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.