JOHNATHAN WESLEY RILEY
NPI 1114744661
Student in an Organized Health Care Education/Training Program in Jackson, MS

Active since September 25, 2024
2500 N STATE ST, JACKSON, MS 39216(601) 984-5012 Get Directions Write a Review

NPPES record last updated: September 25, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Johnathan Wesley Riley NPPES

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

JOHNATHAN WESLEY RILEY (NPI 1114744661) is an individual student in an organized health care education/training program in Jackson, Mississippi and active in the NPI registry since September 2024.

NPPES Registry Identity

NPI1114744661
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameJOHNATHAN WESLEY RILEY
Location Address2500 N STATE STJackson, MS 39216-4500
Mailing Address2500 N State St, Attn School Of MedicineJackson, MS 39216-4500 · (601) 984-5012
Sole ProprietorNo
Enumeration DateSeptember 25, 2024
NPPES CertifiedSeptember 25, 2024
NPI 1114744661 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

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.
2500 N STATE ST, 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.

Psychiatry & Neurology (Neurology with Special Qualifications in Child Neurology)
2500 N STATE ST
JACKSON, MS 39216
Anesthesiology
2500 N STATE ST
JACKSON, MS 39216
Anesthesiology
2500 N STATE ST
JACKSON, MS 39216
Obstetrics & Gynecology
2500 N STATE ST
JACKSON, MS 39216
Emergency Medicine
2500 N STATE ST
JACKSON, MS 39216
Dentist
2500 N STATE ST
JACKSON, MS 39216
Anesthesiology
2500 N STATE ST
JACKSON, MS 39216
Nurse Anesthetist, Certified Registered
2500 N STATE ST
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 Johnathan Riley's NPI number?

The NPI number for Johnathan Riley is 1114744661. It was assigned to this individual provider in the NPPES registry on September 25, 2024.

Where is Johnathan Riley located?

Johnathan Riley practices at 2500 N State St, Jackson, MS 39216. The listed phone number is (601) 984-5012.

What is Johnathan Riley'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 Johnathan Riley was last updated on September 25, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.