| Jennifer Robin Leggett-hudson, NP | |
|
603 S Main St, Mount Olive, MS 39119-8902 | |
| (601) 797-3405 | |
| (601) 797-9482 |
| Full Name | Jennifer Robin Leggett-hudson |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 15 Years |
| Location | 603 S Main St, Mount Olive, Mississippi |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801100037 | NPI | - | NPPES |
| 07624895 | Medicaid | MS | |
| 302I506890 | Other | MS | MEDICARE PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | F0610233 (Mississippi) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Magee General Hospital | Magee, MS | Hospital |
| Covington County Hospital Cah | Collins, MS | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Magee Benevolent Association | 3678466463 | 10 |
| Covington County Hospital | 4183517253 | 33 |
| Entity Name | Covington County Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1518260330 PECOS PAC ID: 4183517253 Enrollment ID: O20040203000816 |
| Entity Name | Magee Benevolent Association |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1225157258 PECOS PAC ID: 3678466463 Enrollment ID: O20040205000400 |
| Entity Name | Covington County Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1598769044 PECOS PAC ID: 4183517253 Enrollment ID: O20080722000557 |
| Entity Name | Covington County Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1134435498 PECOS PAC ID: 4183517253 Enrollment ID: O20110413000929 |
| Entity Name | Covington County Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1336447861 PECOS PAC ID: 4183517253 Enrollment ID: O20110519000619 |
| Mailing Address | Practice Location Address |
|---|---|
| Jennifer Robin Leggett-hudson, NP 603 S Main St, Mount Olive, MS 39119-8902 Ph: (601) 797-3405 | Jennifer Robin Leggett-hudson, NP 603 S Main St, Mount Olive, MS 39119-8902 Ph: (601) 797-3405 |