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JOURNEYCARE MEDICAL, LLC
NPI 1245170885
Nurse Practitioner - Primary Care in Jackson, MS

Active since April 01, 2026
350 W WOODROW WILSON AVE STE 1010, JACKSON, MS 39213(601) 376-8019 Get Directions Write a Review

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

Record update history: Apr 22, 2026, Apr 1, 2026 (2 updates tracked since 2026).

About Journeycare Medical, Llc NPPES

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

JOURNEYCARE MEDICAL, LLC (NPI 1245170885) is a healthcare organization registered as a primary care in Jackson, Mississippi and active in the NPI registry since April 2026. The organization lists Shantrice Bernice Nichols-bates, Ceo/medical Director, as its authorized official.

NPPES Registry Identity

NPI1245170885
Entity TypeOrganization
Primary Taxonomy363LP2300X
Legal Business NameJOURNEYCARE MEDICAL, LLC
Location Address350 W WOODROW WILSON AVE STE 1010Jackson, MS 39213-7681
Mailing Address123a Highway 80 E, Pmb# 140Clinton, MS 39056-4738 · (769) 366-2659
Phone(601) 376-8019
Organization SubpartNo
Authorized OfficialShantrice Bernice Nichols-batesCeo/medical Director · (769) 366-2659
Enumeration DateApril 1, 2026
Last NPPES UpdateApril 22, 20262 updates tracked since enumeration
NPPES CertifiedApril 22, 2026
✔ NPI 1245170885 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP2300X
350 W WOODROW WILSON AVE STE 1010, Jackson, MS 39213
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES

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

DR. SHANTRICE BERNICE NICHOLS-BATES DNP, FNP-C
Nurse Practitioner (Family)
350 W WOODROW WILSON AVE STE 1010
JACKSON, MS 39213
Hinds County (769) 366-4719

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 Journeycare Medical, LLC's NPI number?

The NPI number for Journeycare Medical, LLC is 1245170885. It was assigned to this organization in the NPPES registry on April 1, 2026.

Where is Journeycare Medical, LLC located?

Journeycare Medical, LLC is located at 350 W Woodrow Wilson Ave Ste 1010, Jackson, MS 39213. The listed phone number is (601) 376-8019.

What is Journeycare Medical, LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

When was this NPI record last updated?

The NPPES record for Journeycare Medical, LLC was last updated on April 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.