MEDICAL MALL HEALTH SERVICES OF MISSISSIPPI, LLC
NPI 1194083139
Nurse Practitioner - Primary Care in Jackson, MS

Active since April 27, 2012
350 W WOODROW WILSON AVE, SUITE 499A, JACKSON, MS 39213(601) 700-7709(877) 852-6352 Get Directions Write a Review

NPPES record last updated: March 12, 2015. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Nurse Practitioner
  • Primary Care

About MEDICAL MALL HEALTH SERVICES OF MISSISSIPPI, LLC

This page provides the complete NPI Profile along with additional information for Medical Mall Health Services Of Mississippi, Llc, a provider established in Jackson, Mississippi operating as a Nurse Practitioner, focusing in primary care . The healthcare provider is registered in the NPI registry with number 1194083139 assigned on April 2012. The practitioner's primary taxonomy code is 363LP2300X. The provider is registered as an organization and their NPI record was last updated 11 years ago. Medical Mall Health Services Of Mississippi, Llc operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Mr. Timothy P Mcneil Rn (Coo)

NPI
1194083139 Verify this NPI
Provider Name
MEDICAL MALL HEALTH SERVICES OF MISSISSIPPI, LLC
Entity Type
Organization
Location Address
350 W WOODROW WILSON AVE SUITE 499A JACKSON, MS 39213
Location Phone
(601) 700-7709
Location Fax
(877) 852-6352
Mailing Address
350 W WOODROW WILSON AVE. SUITE 499A JACKSON, MS 39213
Mailing Phone
(601) 700-7709
Mailing Fax
(877) 852-6352
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
04-27-2012
Last Update Date
03-12-2015
Code Navigator

A nurse practitioner (NP) like Medical Mall Health Services Of Mississippi, Llc is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, etc.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Nurse Practitioner Primary Care

Taxonomy Code
363LP2300X
Type
Physician Assistants & Advanced Practice Nursing Providers

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MR. TIMOTHY P MCNEIL RN

Authorized Official Title
COO
Authorized Official Phone
(202) 344-5465

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Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Nurse Practitioner
350 W WOODROW WILSON AVE
JACKSON, MS 39213
Point of Service
350 W WOODROW WILSON AVE, SUITE 611
JACKSON, MS 39213
Pediatrics
350 W WOODROW WILSON AVE
JACKSON, MS 39213
Advanced Practice Midwife
350 W WOODROW WILSON AVE
JACKSON, MS 39213
Nurse Practitioner (Family)
350 W WOODROW WILSON AVE, SUITE 611
JACKSON, MS 39213
Pharmacist (Pharmacotherapy)
350 W WOODROW WILSON AVE, SUITE 202
JACKSON, MS 39213
Nurse Practitioner (Women's Health)
350 W WOODROW WILSON AVE
JACKSON, MS 39213
Preventive Medicine (Public Health & General Preventive Medicine)
350 W WOODROW WILSON AVE
JACKSON, MS 39213
Pharmacist
350 W WOODROW WILSON AVE, CARDIOLOGY - HEART FAILURE DISEASE MANAGEMENT CLINIC
JACKSON, MS 39213
Dentist (General Practice)
350 W WOODROW WILSON AVE, JACKSON MEDICAL MALL, SUITE 3516
JACKSON, MS 39213
Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)
350 W WOODROW WILSON AVE, SUITE 479
JACKSON, MS 39213
Pharmacist
350 W WOODROW WILSON AVE
JACKSON, MS 39213
Pediatrics
350 W WOODROW WILSON AVE
JACKSON, MS 39213
Optometrist
350 W WOODROW WILSON AVE, SUITE 3110
JACKSON, MS 39213
Clinic/Center (Community Health)
350 W WOODROW WILSON AVE
JACKSON, MS 39213
Social Worker (Clinical)
350 W WOODROW WILSON AVE
JACKSON, MS 39213
Nurse Practitioner (Family)
350 W WOODROW WILSON AVE, SUITE 1600
JACKSON, MS 39213
Speech-Language Pathologist
350 W WOODROW WILSON AVE, COMMUNICATIVE SCIENCES
JACKSON, MS 39213
Family Medicine
350 W WOODROW WILSON AVE, BOX 20
JACKSON, MS 39213
Clinic/Center
350 W WOODROW WILSON AVE, SUITE 615
JACKSON, MS 39213

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1194083139, enumerated as an "organization" on April 27, 2012.

The provider is located at 350 W WOODROW WILSON AVE SUITE 499A JACKSON, MS 39213 and the phone number is (601) 700-7709.

Nurse Practitioner with taxonomy code 363LP2300X and a focus in Primary Care.