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CENTRAL JACKSON MEDICAL CLINIC, INC
NPI 1285967943
Nurse Practitioner - Family in Jackson, MS

Active since September 14, 2009
514 C E WOODROW WILSON, JACKSON, MS 39216(601) 981-7198(601) 981-6616 Get Directions Write a Review

NPPES record last updated: September 14, 2009. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Central Jackson Medical Clinic, Inc NPPES

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

CENTRAL JACKSON MEDICAL CLINIC, INC (NPI 1285967943) is a healthcare organization registered as a family in Jackson, Mississippi and active in the NPI registry since September 2009. The organization lists Iphogenier Barry, President, as its authorized official.

NPPES Registry Identity

NPI1285967943
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameCENTRAL JACKSON MEDICAL CLINIC, INC
Location Address514 C E WOODROW WILSONJackson, MS 39216-4538
Mailing Address514 C E Woodrow WilsonJackson, MS 39216-4538 · (601) 981-7198 · Fax (601) 981-6616
Phone(601) 981-7198
Fax(601) 981-6616
Organization SubpartNo
Authorized OfficialIphogenier BarryPresident · (601) 981-7198
Enumeration DateSeptember 14, 2009
✔ NPI 1285967943 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
Licenses✔ Licensed in MS · R733308✔ Licensed in MS · R718637
514 C E WOODROW WILSON, Jackson, MS 39216
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

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 Central Jackson Medical Clinic, Inc's NPI number?

The NPI number for Central Jackson Medical Clinic, Inc is 1285967943. It was assigned to this organization in the NPPES registry on September 14, 2009.

Where is Central Jackson Medical Clinic, Inc located?

Central Jackson Medical Clinic, Inc is located at 514 C E Woodrow Wilson, Jackson, MS 39216. The listed phone number is (601) 981-7198.

What is Central Jackson Medical Clinic, Inc'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 Central Jackson Medical Clinic, Inc was last updated on September 14, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.