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JACKSONBRACEY HEALTH CARE
NPI 1740742329
Nurse Practitioner - Family in Pearl, MS

Active since April 03, 2019

NPPES record last updated: April 3, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jacksonbracey Health Care NPPES

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

JACKSONBRACEY HEALTH CARE (NPI 1740742329) is a healthcare organization registered as a family in Pearl, Mississippi and active in the NPI registry since April 2019. The organization lists Kristen Liles, Office Staff, as its authorized official.

NPPES Registry Identity

NPI1740742329
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameJACKSONBRACEY HEALTH CARE
Location Address4490 US-80Pearl, MS 39208
Mailing Address4490 Highway 80 EPearl, MS 39208-4213
Phone(601) 383-1977
Organization SubpartNo
Authorized OfficialKristen LilesOffice Staff · (601) 937-5415
Enumeration DateApril 3, 2019
✔ NPI 1740742329 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
4490 US-80, Pearl, MS 39208
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE 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 Jacksonbracey Health Care's NPI number?

The NPI number for Jacksonbracey Health Care is 1740742329. It was assigned to this organization in the NPPES registry on April 3, 2019.

Where is Jacksonbracey Health Care located?

Jacksonbracey Health Care is located at 4490 Us-80, Pearl, MS 39208. The listed phone number is (601) 383-1977.

What is Jacksonbracey Health Care'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 Jacksonbracey Health Care was last updated on April 3, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.