MRS. LINDA RUTH MACK NP
NPI 1205935301
Nurse Practitioner in Jackson, MS

Active since September 22, 2006
1500 E WOODROW WILSON AVE, JACKSON, MS 39216(601) 362-4471(601) 362-1259 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mrs. Linda Ruth Mack Np NPPES

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

MRS. LINDA RUTH MACK NP (NPI 1205935301) is an individual nurse practitioner in Jackson, Mississippi, licensed in Mississippi (R725005) and active in the NPI registry since September 2006.

NPPES Registry Identity

NPI1205935301
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameMRS. LINDA RUTH MACKCredential: NP
Location Address1500 E WOODROW WILSON AVEJackson, MS 39216-5116
Mailing Address1973 Houston RdBolton, MS 39041-9387 · (601) 362-4461 · Fax (601) 364-1259
Fax(601) 362-1259
Sole ProprietorNo
Enumeration DateSeptember 22, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1205935301 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License Licensed in MS · R725005
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
1500 E WOODROW WILSON AVE, 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.

Registered Nurse
1500 E WOODROW WILSON AVE
JACKSON, MS 39216
Psychologist
1500 E WOODROW WILSON AVE
JACKSON, MS 39216
Pharmacist
1500 E WOODROW WILSON AVE
JACKSON, MS 39216
Pharmacist
1500 E WOODROW WILSON AVE
JACKSON, MS 39216
Pharmacist
1500 E WOODROW WILSON AVE
JACKSON, MS 39216
Dietitian, Registered
1500 E WOODROW WILSON AVE
JACKSON, MS 39216
Chronic Disease Hospital
1500 E WOODROW WILSON AVE
JACKSON, MS 39216
Social Worker (Clinical)
1500 E WOODROW WILSON AVE
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 Linda Mack's NPI number?

The NPI number for Linda Mack is 1205935301. It was assigned to this individual provider in the NPPES registry on September 22, 2006.

Where is Linda Mack located?

Linda Mack practices at 1500 E Woodrow Wilson Ave, Jackson, MS 39216. The listed phone number is (601) 362-4471.

What is Linda Mack's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

When was this NPI record last updated?

The NPPES record for Linda Mack was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.