MRS. JESSIE LILLEY VAN ETTEN FNP-BC
NPI 1528980612
Nurse Practitioner - Family in Jackson, MS
About Mrs. Jessie Lilley Van Etten Fnp-bc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. JESSIE LILLEY VAN ETTEN FNP-BC (NPI 1528980612) is an individual family provider in Jackson, Mississippi, licensed in Mississippi (908645) and active in the NPI registry since July 2026.
NPPES Registry Identity
Specialties & Licenses
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 Jessie Van Etten's NPI number?
The NPI number for Jessie Van Etten is 1528980612. It was assigned to this individual provider in the NPPES registry on July 29, 2026.
Where is Jessie Van Etten located?
Jessie Van Etten practices at 6380 Clinton Tinnin Rd, Jackson, MS 39209. The listed phone number is (601) 978-0764.
What is Jessie Van Etten'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 Jessie Van Etten was last updated on July 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 days 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.
