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DR. EVAN ANTHONY BUCKLEY DO
NPI 1104629336
Student in an Organized Health Care Education/Training Program in Jackson, MS

Active since March 31, 2025
1225 N STATE ST, JACKSON, MS 39202(601) 968-1000 Get Directions Write a Review

NPPES record last updated: March 31, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Evan Anthony Buckley Do NPPES

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

DR. EVAN ANTHONY BUCKLEY DO (NPI 1104629336) is an individual student in an organized health care education/training program in Jackson, Mississippi and active in the NPI registry since March 2025.

NPPES Registry Identity

NPI1104629336
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameDR. EVAN ANTHONY BUCKLEYCredential: DO
Location Address1225 N STATE STJackson, MS 39202-2097
Mailing Address1190 N State St Fl 4Jackson, MS 39202-2413 · (601) 292-4517
Phone(601) 968-1000
Sole ProprietorNo
Enumeration DateMarch 31, 2025
NPPES CertifiedMarch 31, 2025
✔ NPI 1104629336 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
1225 N STATE ST, Jackson, MS 39202
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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.

HADEN DAVIS
Registered Nurse
1225 N STATE ST
JACKSON, MS 39202
Hinds County (601) 968-1044
MRS. ALLISON MITCHELL CCC-SLP
Speech-Language Pathologist
1225 N STATE ST
JACKSON, MS 39202
Hinds County (601) 968-5003
STEPHEN PAUL EPPERSON MD
Family Medicine
1225 N STATE ST
JACKSON, MS 39202
Hinds County (601) 988-5281
DR. RICHARD B FRIEDMAN MD
Radiology (Radiation Oncology)
1225 N STATE ST
JACKSON, MS 39202
Hinds County (601) 968-1416
JOHN C BROOKS M.D.
Emergency Medicine (Emergency Medical Services)
1225 N STATE ST
JACKSON, MS 39202
Hinds County (601) 982-6001
KATHRYN B BROWN M.D.
Pathology (Anatomic Pathology & Clinical Pathology)
1225 N STATE ST
JACKSON, MS 39202
Hinds County (601) 968-3070
WILLIAM FRANKLIN RAYBURN M.D.
Internal Medicine
1225 N STATE ST
JACKSON, MS 39202
Hinds County (601) 988-5281
JOSHUA GRICE CAMPBELL MD
Emergency Medicine
1225 N STATE ST
JACKSON, MS 39202
Hinds County (601) 968-1000

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 Evan Buckley's NPI number?

The NPI number for Evan Buckley is 1104629336. It was assigned to this individual provider in the NPPES registry on March 31, 2025.

Where is Evan Buckley located?

Evan Buckley practices at 1225 N State St, Jackson, MS 39202. The listed phone number is (601) 968-1000.

What is Evan Buckley's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Evan Buckley was last updated on March 31, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months 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.