FOOT CARE ETC LLC
NPI 1407699309
Nurse Practitioner - Family in Meridian, MS

Active since June 17, 2024
3931 NEWELL RD, MERIDIAN, MS 39301(601) 934-8217 Get Directions Write a Review

NPPES record last updated: June 17, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Foot Care Etc Llc NPPES

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

FOOT CARE ETC LLC (NPI 1407699309) is a healthcare organization registered as a family in Meridian, Mississippi and active in the NPI registry since June 2024. The organization lists Gloria Jean Jackson, Owner, as its authorized official.

NPPES Registry Identity

NPI1407699309
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameFOOT CARE ETC LLC
Location Address3931 NEWELL RDMeridian, MS 39301-1440
Mailing Address3931 Newell RdMeridian, MS 39301-1440 · (601) 934-8217
Organization SubpartNo
Authorized OfficialGloria Jean JacksonOwner · (601) 934-8217
Enumeration DateJune 17, 2024
NPPES CertifiedJune 17, 2024
NPI 1407699309 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
Also ListedPodiatristTaxonomy 213E00000X
3931 NEWELL RD, Meridian, MS 39301

Other Names 1

Doing Business AsFoot Care Etc Llc

Other Identifiers 2

Medicaid09573377MS
Other297196YJ96MS · Medicare Number

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

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 Foot Care Etc LLC's NPI number?

The NPI number for Foot Care Etc LLC is 1407699309. It was assigned to this organization in the NPPES registry on June 17, 2024.

Where is Foot Care Etc LLC located?

Foot Care Etc LLC is located at 3931 Newell Rd, Meridian, MS 39301. The listed phone number is (601) 934-8217.

What is Foot Care Etc LLC'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 Foot Care Etc LLC was last updated on June 17, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.