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

Q: What is State Of Mississippi-University Of Mississippi Medical Center's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

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: August 09, 2026.

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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

Phone(601) 984-4619

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

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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

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health and more.Insurance ›

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)