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MRS. FORTENISE A MASON CNP
NPI 1174068704
Nurse Practitioner - Family in Jackson, MS

Active since January 06, 2017
514H E WOODROW WILSON AVE, JACKSON, MS 39216(601) 713-3900(601) 713-3970 Get Directions Write a Review

NPPES record last updated: October 22, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 22, 2019, Jan 6, 2017 (2 updates tracked since 2017).

About Mrs. Fortenise A Mason Cnp NPPES

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

MRS. FORTENISE A MASON CNP (NPI 1174068704) is an individual family provider in Jackson, Mississippi, licensed in Mississippi (901481) and active in the NPI registry since January 2017.

NPPES Registry Identity

NPI1174068704
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMRS. FORTENISE A MASONCredential: CNP
Location Address514H E WOODROW WILSON AVEJackson, MS 39216-4538
Mailing Address815 Eagles Nest DrByram, MS 39272-9328 · (601) 421-7235
Phone(601) 713-3900
Fax(601) 713-3970
Sole ProprietorYes
Enumeration DateJanuary 6, 2017
Last NPPES UpdateOctober 22, 20192 updates tracked since enumeration
✔ NPI 1174068704 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 · 901481
514H E WOODROW WILSON AVE, Jackson, MS 39216
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Other Names 1

Former Name (1)Fortenise A Garrett

Other Providers at the Same Location NPPES 4

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

MRS. AMMY HUTTON DAVIS CPNP
Nurse Practitioner (Pediatrics)
514H E WOODROW WILSON AVE
JACKSON, MS 39216
Hinds County (601) 713-3900
AUDREY UKACHI ROBERTSON MD
Pediatrics
514H E WOODROW WILSON AVE
JACKSON, MS 39216
Hinds County (601) 713-3900
PEACE CHILDREN'S CLINIC
Clinic/Center (Primary Care)
514H E WOODROW WILSON AVE
JACKSON, MS 39216
Hinds County (601) 713-3900
MONIFA RI'ANA BEAL FNP-BC
Nurse Practitioner (Family)
514H E WOODROW WILSON AVE
JACKSON, MS 39216
Hinds County (601) 713-3900

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 Fortenise Mason's NPI number?

The NPI number for Fortenise Mason is 1174068704. It was assigned to this individual provider in the NPPES registry on January 6, 2017. The provider is also known as Fortenise A Garrett.

Where is Fortenise Mason located?

Fortenise Mason practices at 514H E Woodrow Wilson Ave, Jackson, MS 39216. The listed phone number is (601) 713-3900.

What is Fortenise Mason'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 Fortenise Mason was last updated on October 22, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.