1. Home
  2. Directory
  3. Mississippi
  4. Jackson
  5. Nurse Practitioner
  6. NPI Profile

MRS. JACQUELINE ANN CARRILLO CFNP
NPI 1346460078
Nurse Practitioner - Family in Jackson, MS

Active since April 26, 2007
2500 N STATE ST, JACKSON, MS 39216(601) 984-5610(601) 984-5783 Get Directions Write a Review

NPPES record last updated: March 7, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mrs. Jacqueline Ann Carrillo Cfnp NPPES

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

MRS. JACQUELINE ANN CARRILLO CFNP (NPI 1346460078) is an individual family provider in Jackson, Mississippi, licensed in Mississippi (R752134) and active in the NPI registry since April 2007.

NPPES Registry Identity

NPI1346460078
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMRS. JACQUELINE ANN CARRILLOCredential: CFNP
Location Address2500 N STATE STJackson, MS 39216-4500
Mailing AddressPo Box 22727Jackson, MS 39225-2727 · (601) 200-4749 · Fax (601) 200-5929
Phone(601) 984-5610
Fax(601) 984-5783
Sole ProprietorNo
Enumeration DateApril 26, 2007
Last NPPES UpdateMarch 7, 2023
✔ NPI 1346460078 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 · R752134
2500 N STATE ST, Jackson, MS 39216
Open in Google Maps ↗

Other Identifiers 2

Medicaid09120238MS
Other302I507415MS · Medicare Ptan

Other Providers at the Same Location NPPES 20

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

LAMAR DAVIS II M.D.
Psychiatry & Neurology (Neurology with Special Qualifications in Child Neurology)
2500 N STATE ST
JACKSON, MS 39216
Hinds County (601) 984-5275
STEPHEN COMMISKEY M.D.
Anesthesiology
2500 N STATE ST
JACKSON, MS 39216
Hinds County (601) 984-5900
JESSICA SAFLEY MD
Anesthesiology
2500 N STATE ST
JACKSON, MS 39216
Hinds County (601) 984-5900
DR. MARY KINNEY LOWE CORLEY MD
Obstetrics & Gynecology
2500 N STATE ST
JACKSON, MS 39216
Hinds County (601) 984-5339
LAURA ELIZABETH VEARRIER M.D.
Emergency Medicine
2500 N STATE ST
JACKSON, MS 39216
Hinds County (601) 815-2005
DR. CANDICE BRITTANY APRIL DDS
Dentist
2500 N STATE ST
JACKSON, MS 39216
Hinds County (601) 984-6028
DR. LARKIN H MITCHELL M.D.
Anesthesiology
2500 N STATE ST
JACKSON, MS 39216
Hinds County (601) 984-5900
EMILY SUMRALL CHILDRESS CRNA
Nurse Anesthetist, Certified Registered
2500 N STATE ST
JACKSON, MS 39216
Hinds County (601) 984-1000

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 Jacqueline Carrillo's NPI number?

The NPI number for Jacqueline Carrillo is 1346460078. It was assigned to this individual provider in the NPPES registry on April 26, 2007.

Where is Jacqueline Carrillo located?

Jacqueline Carrillo practices at 2500 N State St, Jackson, MS 39216. The listed phone number is (601) 984-5610.

What is Jacqueline Carrillo'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 Jacqueline Carrillo was last updated on March 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.