CENEDRA DIONNE LEE NP
NPI 1083012132
Nurse Practitioner in Jackson, MS

Active since December 05, 2014
2500 NORTH STATE STREET, JACKSON, MS 39216(601) 815-4128 Get Directions Write a Review

NPPES record last updated: December 17, 2015. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Dec 17, 2015, Dec 9, 2015, Nov 30, 2015 (3 updates tracked since 2015).

About Cenedra Dionne Lee Np NPPES

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

CENEDRA DIONNE LEE NP (NPI 1083012132) is an individual nurse practitioner in Jackson, Mississippi, licensed in Mississippi (R885414) and active in the NPI registry since December 2014.

NPPES Registry Identity

NPI1083012132
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameCENEDRA DIONNE LEECredential: NP
Location Address2500 NORTH STATE STREETJackson, MS 39216-4500
Mailing Address2500 North State Street, Jmm Room 2525Jackson, MS 39216-4500 · (601) 815-4128
Sole ProprietorNo
Enumeration DateDecember 5, 2014
Last NPPES UpdateDecember 17, 20153 updates tracked since enumeration
NPI 1083012132 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License Licensed in MS · R885414
Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

2500 NORTH STATE STREET, Jackson, MS 39216

Other Identifiers 1

Medicare PIN459474YJ5DMS

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine (Nephrology)
2500 NORTH STATE STREET, DEPARTMENT OF MEDICINE DIVISION OF NEPHROLOGY
JACKSON, MS 39216
Nurse Practitioner (Family)
2500 NORTH STATE STREET, DEPARTMENT OF MEDICINE DIVISION OF GEN INTERNAL MED
JACKSON, MS 39216
Internal Medicine
2500 NORTH STATE STREET, DEPARTMENT OF MEDICINE DIV GENERAL INTERNAL MEDICINE
JACKSON, MS 39216
Internal Medicine (Pulmonary Disease)
2500 NORTH STATE STREET, DEPARTMENT OF MEDICINE/DIVISION OF PULMONARY
JACKSON, MS 39216
Internal Medicine (Pulmonary Disease)
2500 NORTH STATE STREET, DEPARTMENT OF MEDICINE/DIVISION OF PULMONARY
JACKSON, MS 39216
Internal Medicine (Infectious Disease)
2500 NORTH STATE STREET, DEPARTMENT OF MEDICINE/DIVISION OF INFECTIOUS DISEASE
JACKSON, MS 39216
Internal Medicine (Pulmonary Disease)
2500 NORTH STATE STREET, DEPARTMENT OF MEDICINE DIVISION OF PULMONARY
JACKSON, MS 39216
Internal Medicine
2500 NORTH STATE STREET, DEPARTMENT OF MEDICINE/DIVISION OF HYPERTENSION
JACKSON, MS 39216

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1083012132, enumerated as an "individual" on December 05, 2014.

The provider is located at 2500 NORTH STATE STREET JACKSON, MS 39216 and the phone number is (601) 815-4128.

Nurse Practitioner with taxonomy code 363L00000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.