FONDREN HEALTH CLINIC
NPI 1235508623
Clinic/Center - Primary Care in Jackson, MS

Active since September 16, 2015
4510 OFFICE PARK DR, JACKSON, MS 39206(601) 624-3352 Get Directions Write a Review

NPPES record last updated: September 16, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Fondren Health Clinic NPPES

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

FONDREN HEALTH CLINIC (NPI 1235508623) is a healthcare organization registered as a primary care in Jackson, Mississippi and active in the NPI registry since September 2015. The organization lists Yuree Cox, Manager, as its authorized official.

NPPES Registry Identity

NPI1235508623
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameFONDREN HEALTH CLINIC
Location Address4510 OFFICE PARK DRJackson, MS 39206-6016
Mailing Address4510 Office Park DrJackson, MS 39206-6016 · (601) 624-3352
Organization SubpartNo
Authorized OfficialYuree CoxManager · (601) 624-3352
Enumeration DateSeptember 16, 2015
NPI 1235508623 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
4510 OFFICE PARK DR, Jackson, MS 39206

Other Providers at the Same Location NPPES 6

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

Nurse Practitioner (Family)
4510 OFFICE PARK DR
JACKSON, MS 39206
Clinic/Center (Health Service)
4510 OFFICE PARK DR
JACKSON, MS 39206
Clinic/Center
4510 OFFICE PARK DR
JACKSON, MS 39206
Podiatrist (Primary Podiatric Medicine)
4510 OFFICE PARK DR
JACKSON, MS 39206
Podiatrist (Primary Podiatric Medicine)
4510 OFFICE PARK DR
JACKSON, MS 39206
Clinical Medical Laboratory
4510 OFFICE PARK DR
JACKSON, MS 39206

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 Fondren Health Clinic's NPI number?

The NPI number for Fondren Health Clinic is 1235508623. It was assigned to this organization in the NPPES registry on September 16, 2015.

Where is Fondren Health Clinic located?

Fondren Health Clinic is located at 4510 Office Park Dr, Jackson, MS 39206. The listed phone number is (601) 624-3352.

What is Fondren Health Clinic's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

When was this NPI record last updated?

The NPPES record for Fondren Health Clinic was last updated on September 16, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.