KIDNEY FOCUSED CARE, LLC
NPI 1003418997
Nurse Practitioner - Primary Care in Jackson, MS

Active since November 15, 2020
2633 RIDGEWOOD RD STE 105, JACKSON, MS 39216(601) 665-4429(601) 665-4429 Get Directions Write a Review

NPPES record last updated: April 22, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 22, 2021, Nov 15, 2020 (2 updates tracked since 2020).

About Kidney Focused Care, Llc NPPES

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

KIDNEY FOCUSED CARE, LLC (NPI 1003418997) is a healthcare organization registered as a primary care in Jackson, Mississippi and active in the NPI registry since November 2020. The organization lists Jacqueline Diane Boyd, Owner, as its authorized official.

NPPES Registry Identity

NPI1003418997
Entity TypeOrganization
Primary Taxonomy363LP2300X
Legal Business NameKIDNEY FOCUSED CARE, LLC
Location Address2633 RIDGEWOOD RD STE 105Jackson, MS 39216-4962
Mailing Address702 Pecan CtBrandon, MS 39042-6012 · (662) 719-9120 · Fax (601) 665-4429
Fax(601) 665-4429
Organization SubpartNo
Authorized OfficialJacqueline Diane BoydOwner · (601) 665-4429
Enumeration DateNovember 15, 2020
Last NPPES UpdateApril 22, 20212 updates tracked since enumeration
NPPES CertifiedApril 22, 2021
NPI 1003418997 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP2300X
Also ListedNurse PractitionerTaxonomy 363L00000X
2633 RIDGEWOOD RD STE 105, Jackson, MS 39216

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 Kidney Focused Care, LLC's NPI number?

The NPI number for Kidney Focused Care, LLC is 1003418997. It was assigned to this organization in the NPPES registry on November 15, 2020.

Where is Kidney Focused Care, LLC located?

Kidney Focused Care, LLC is located at 2633 Ridgewood Rd Ste 105, Jackson, MS 39216. The listed phone number is (601) 665-4429.

What is Kidney Focused Care, LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

When was this NPI record last updated?

The NPPES record for Kidney Focused Care, LLC was last updated on April 22, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.