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MISS MODUPE HARRIET AJISAFE M.D
NPI 1306632344
Family Medicine in Jackson, MS

Active since April 16, 2025
DEPARTMENT OF FAMILY MEDICINE, 2500 N STATE ST, JACKSON, MS 39216(601) 984-5426 Get Directions Write a Review

NPPES record last updated: November 5, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Nov 5, 2025, Sep 18, 2025 (2 updates tracked since 2025).

About Miss Modupe Harriet Ajisafe M.d NPPES

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

MISS MODUPE HARRIET AJISAFE M.D (NPI 1306632344) is an individual family medicine provider in Jackson, Mississippi, licensed in Mississippi (T5940) and active in the NPI registry since April 2025.

NPPES Registry Identity

NPI1306632344
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameMISS MODUPE HARRIET AJISAFECredential: M.D
Location AddressDEPARTMENT OF FAMILY MEDICINE, 2500 N STATE STJackson, MS 39216
Mailing Address1855 Lakeland Dr Apt 415Jackson, MS 39216-0005 · (346) 370-2417
Phone(601) 984-5426
Sole ProprietorNo
Enumeration DateApril 16, 2025
Last NPPES UpdateNovember 5, 20252 updates tracked since enumeration
NPPES CertifiedNovember 5, 2025
✔ NPI 1306632344 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in MS · T5940
Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

DEPARTMENT OF FAMILY MEDICINE, Jackson, MS 39216
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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 Modupe Ajisafe's NPI number?

The NPI number for Modupe Ajisafe is 1306632344. It was assigned to this individual provider in the NPPES registry on April 16, 2025.

Where is Modupe Ajisafe located?

Modupe Ajisafe practices at Department Of Family Medicine 2500 N State St, Jackson, MS 39216. The listed phone number is (601) 984-5426.

What is Modupe Ajisafe's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Modupe Ajisafe was last updated on November 5, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.