MRS. JEAN BROCKMAN SPEED NP
NPI 1083713663
Nurse Practitioner - Family in Jackson, MS

Active since September 21, 2006
1500 E WOODROW WILSON AVE, JACKSON, MS 39216(601) 362-4471(601) 368-4089 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mrs. Jean Brockman Speed Np NPPES

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

MRS. JEAN BROCKMAN SPEED NP (NPI 1083713663) is an individual family provider in Jackson, Mississippi, licensed in Mississippi (R718491) and active in the NPI registry since September 2006.

NPPES Registry Identity

NPI1083713663
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMRS. JEAN BROCKMAN SPEEDCredential: NP
Location Address1500 E WOODROW WILSON AVEJackson, MS 39216-5116
Mailing Address2664 Lake CirJackson, MS 39211-6761 · (601) 362-7156 · Fax (601) 362-7156
Fax(601) 368-4089
Sole ProprietorYes
Enumeration DateSeptember 21, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1083713663 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in MS · R718491
1500 E WOODROW WILSON AVE, Jackson, MS 39216

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.

Registered Nurse
1500 E WOODROW WILSON AVE
JACKSON, MS 39216
Psychologist
1500 E WOODROW WILSON AVE
JACKSON, MS 39216
Pharmacist
1500 E WOODROW WILSON AVE
JACKSON, MS 39216
Pharmacist
1500 E WOODROW WILSON AVE
JACKSON, MS 39216
Pharmacist
1500 E WOODROW WILSON AVE
JACKSON, MS 39216
Dietitian, Registered
1500 E WOODROW WILSON AVE
JACKSON, MS 39216
Chronic Disease Hospital
1500 E WOODROW WILSON AVE
JACKSON, MS 39216
Social Worker (Clinical)
1500 E WOODROW WILSON AVE
JACKSON, MS 39216

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 Jean Speed's NPI number?

The NPI number for Jean Speed is 1083713663. It was assigned to this individual provider in the NPPES registry on September 21, 2006.

Where is Jean Speed located?

Jean Speed practices at 1500 E Woodrow Wilson Ave, Jackson, MS 39216. The listed phone number is (601) 362-4471.

What is Jean Speed's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Jean Speed was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.