STATE OF MISSISSIPPI-UNIVERSITY OF MISSISSIPPI MEDICAL CENTER
NPI 1699857433
Nurse Practitioner in Jackson, MS

Active since October 20, 2006
2500 N STATE ST, PFS, JACKSON, MS 39216(601) 984-4619(601) 984-4657 Get Directions Write a Review

NPPES record last updated: April 20, 2008. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About State Of Mississippi-university Of Mississippi Medical Center NPPES

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

STATE OF MISSISSIPPI-UNIVERSITY OF MISSISSIPPI MEDICAL CENTER (NPI 1699857433) is a healthcare organization registered as a nurse practitioner in Jackson, Mississippi and active in the NPI registry since October 2006. The organization lists William Kennedy, Associate Administor, as its authorized official.

NPPES Registry Identity

NPI1699857433
Entity TypeOrganization
Primary Taxonomy363L00000X
Legal Business NameSTATE OF MISSISSIPPI-UNIVERSITY OF MISSISSIPPI MEDICAL CENTER
Location Address2500 N STATE ST, PFSJackson, MS 39216-4500
Mailing Address2500 N State StJackson, MS 39216-4500 · (601) 984-2342 · Fax (601) 984-4657
Fax(601) 984-4657
Organization SubpartNo
Authorized OfficialWilliam KennedyAssociate Administor · (601) 986-4699
Enumeration DateOctober 20, 2006
Last NPPES UpdateApril 20, 2008
NPI 1699857433 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Also ListedDietitian, RegisteredTaxonomy 133V00000X
Also ListedNurse Anesthetist, Certified RegisteredTaxonomy 367500000X
2500 N STATE ST, Jackson, MS 39216

Other Identifiers 5

OtherCH5738MS · Rr Medicare
Medicare ID-Type UnspecifiedC02587MS
Other=========MMS · Blue Cross Blue Shield
Other=========NMS · Blue Cross Blue Shield
Medicaid09015456MS

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

Accepted Insurance

Reviews for STATE OF MISSISSIPPI-UNIVERSITY OF MISSISSIPPI MEDICAL CENTER

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Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Ophthalmology
2500 N STATE ST, STE B329
JACKSON, MS 39216
Pharmacist (Psychiatric)
2500 N STATE ST
JACKSON, MS 39216
Rehabilitation Unit
2500 N STATE ST
JACKSON, MS 39216
Otolaryngology
2500 N STATE ST, DEPARTMENT OF OTOLARYNGOLOGY
JACKSON, MS 39216
Dentist
2500 N STATE ST
JACKSON, MS 39216
Anesthesiology (Pediatric Anesthesiology)
2500 N STATE ST, DEPT. OF ANESTHESIOLOGY
JACKSON, MS 39216
Dentist
2500 N STATE ST, UNIVERSITY OF MISSISSIPPI SCHOOL OF DENTISTRY
JACKSON, MS 39216
Physical Medicine & Rehabilitation (Pediatric Rehabilitation Medicine)
2500 N STATE ST
JACKSON, MS 39216
Psychologist (Clinical)
2500 N STATE ST
JACKSON, MS 39216
Nurse Practitioner
2500 N STATE ST
JACKSON, MS 39216
Neurological Surgery
2500 N STATE ST, N703 NEUROSURGERY DEPARTMENT
JACKSON, MS 39216
Psychiatry & Neurology (Psychiatry)
2500 N STATE ST
JACKSON, MS 39216
Clinical Neuropsychologist
2500 N STATE ST
JACKSON, MS 39216
Psychologist (Clinical)
2500 N STATE ST
JACKSON, MS 39216
Medical Genetics (Clinical Genetics (M.D.))
2500 N STATE ST, DEPARTMENT OF PREVENTIVE MEDICINE
JACKSON, MS 39216
Clinical Medical Laboratory
2500 N STATE ST
JACKSON, MS 39216
Pediatrics (Pediatric Critical Care Medicine)
2500 N STATE ST
JACKSON, MS 39216
Pediatrics (Pediatric Critical Care Medicine)
2500 N STATE ST
JACKSON, MS 39216
Pediatrics (Pediatric Infectious Diseases)
2500 N STATE ST
JACKSON, MS 39216
Pediatrics
2500 N STATE ST
JACKSON, MS 39216

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1699857433, enumerated as an "organization" on October 20, 2006.

The provider is located at 2500 N STATE ST PFS JACKSON, MS 39216 and the phone number is (601) 984-4619.

Nurse Practitioner with taxonomy code 363L00000X.

The provider might be accepting Accepts: Ambetter from Arkansas Health & Wellness, Ambetter. Please consult your insurance carrier or call the provider to verify.