MYRANDA ARCHIE
NPI 1225872815
Nurse Practitioner - Family in Jackson, MS

Q: What is Myranda Archie's NPI number?

The NPI number for Myranda Archie is 1225872815. It was assigned to this individual provider in the NPPES registry on June 19, 2024.

Q: What is Myranda Archie's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Myranda Archie was last updated on June 19, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since June 19, 2024

5604 OLD CANTON RD, JACKSON, MS 39211(601) 991-1044 Get Directions Write a Review

NPPES record last updated: June 19, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Myranda Archie NPPES

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

MYRANDA ARCHIE (NPI 1225872815) is an individual family provider in Jackson, Mississippi, licensed in Mississippi (906731) and active in the NPI registry since June 2024.

NPPES Registry Identity

NPI1225872815

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameMYRANDA ARCHIE

Location Address5604 OLD CANTON RDJackson, MS 39211-4217

Mailing Address5604 Old Canton RdJackson, MS 39211-4217 · (601) 991-1044

Phone(601) 991-1044

Sole ProprietorNo

Enumeration DateJune 19, 2024

NPPES CertifiedJune 19, 2024

✔ NPI 1225872815 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 · 906731

5604 OLD CANTON RD, Jackson, MS 39211

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Other Providers at the Same Location NPPES 3

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

MRS. CATHERINE CARTER SLEDGE D.M.D.

Dentist (General Practice)

5604 OLD CANTON RD
JACKSON, MS 39211

Hinds County (601) 956-8239

MOORE HEALTHY FAMILY MEDICAL CLINIC, LLC

Clinic/Center (Primary Care)

5604 OLD CANTON RD
JACKSON, MS 39211

Hinds County (601) 991-1044

DR. ROBERT L MOORE M.D.

Family Medicine

5604 OLD CANTON RD
JACKSON, MS 39211

Hinds County (601) 991-1044

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 Myranda Archie's NPI number?

The NPI number for Myranda Archie is 1225872815. It was assigned to this individual provider in the NPPES registry on June 19, 2024.

Where is Myranda Archie located?

Myranda Archie practices at 5604 Old Canton Rd, Jackson, MS 39211. The listed phone number is (601) 991-1044.

What is Myranda Archie'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 Myranda Archie was last updated on June 19, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.