Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Colton Fernstrum

Individual provider Plastic and Reconstructive Surgery Physician · NPI 1720661440

Colton Fernstrum is a Plastic and Reconstructive Surgery Physician in Jackson, Mississippi. Licensed in Mississippi. Registered with an NPI since 2021.

Licensed in
MS
In the registry since
2021

Practice location Address checks out

2500 N State St
Jackson, MS 39216-4500
Phone: (601) 984-4124
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Plastic and Reconstructive Surgery Physician (primary) Taxonomy 2086S0122X · Licence T-4271 (MS)

Record details

NPI number1720661440
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 30, 2021
Last updated in NPPESJuly 1, 2021
Certification dateJuly 1, 2021

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