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PETRINA SMITH
NPI 1124980677
Nurse Practitioner - Family in Jackson, MS

Active since December 02, 2025
2500 N STATE ST, JACKSON, MS 39216(601) 984-1000 Get Directions Write a Review

NPPES record last updated: December 2, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Petrina Smith NPPES

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

PETRINA SMITH (NPI 1124980677) is an individual family provider in Jackson, Mississippi, licensed in Mississippi (907075) and active in the NPI registry since December 2025.

NPPES Registry Identity

NPI1124980677
Entity TypeIndividual
Primary Taxonomy363LF0000X
Provider Legal NamePETRINA SMITH
Location Address2500 N STATE STJackson, MS 39216-4500
Mailing Address919 Willow Grande CirBrandon, MS 39047-8315
Phone(601) 984-1000
Sole ProprietorNo
Enumeration DateDecember 2, 2025
NPPES CertifiedDecember 2, 2025
✔ NPI 1124980677 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 · 907075
2500 N STATE ST, Jackson, MS 39216
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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.

LAMAR DAVIS II M.D.
Psychiatry & Neurology (Neurology with Special Qualifications in Child Neurology)
2500 N STATE ST
JACKSON, MS 39216
Hinds County (601) 984-5275
STEPHEN COMMISKEY M.D.
Anesthesiology
2500 N STATE ST
JACKSON, MS 39216
Hinds County (601) 984-5900
JESSICA SAFLEY MD
Anesthesiology
2500 N STATE ST
JACKSON, MS 39216
Hinds County (601) 984-5900
DR. MARY KINNEY LOWE CORLEY MD
Obstetrics & Gynecology
2500 N STATE ST
JACKSON, MS 39216
Hinds County (601) 984-5339
LAURA ELIZABETH VEARRIER M.D.
Emergency Medicine
2500 N STATE ST
JACKSON, MS 39216
Hinds County (601) 815-2005
DR. CANDICE BRITTANY APRIL DDS
Dentist
2500 N STATE ST
JACKSON, MS 39216
Hinds County (601) 984-6028
DR. LARKIN H MITCHELL M.D.
Anesthesiology
2500 N STATE ST
JACKSON, MS 39216
Hinds County (601) 984-5900
EMILY SUMRALL CHILDRESS CRNA
Nurse Anesthetist, Certified Registered
2500 N STATE ST
JACKSON, MS 39216
Hinds County (601) 984-1000

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 Petrina Smith's NPI number?

The NPI number for Petrina Smith is 1124980677. It was assigned to this individual provider in the NPPES registry on December 2, 2025.

Where is Petrina Smith located?

Petrina Smith practices at 2500 N State St, Jackson, MS 39216. The listed phone number is (601) 984-1000.

What is Petrina Smith'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 Petrina Smith was last updated on December 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.