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JACKSON VA MOBILE CLINIC
NPI 1922496280
Clinic/Center - VA in Jackson, MS

Active since January 08, 2015
1500 E WOODROW WILSON AVE, JACKSON, MS 39216(615) 355-3451 Get Directions Write a Review

NPPES record last updated: January 10, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Jackson Va Mobile Clinic NPPES

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

JACKSON VA MOBILE CLINIC (NPI 1922496280) is a healthcare organization registered as a va in Jackson, Mississippi and active in the NPI registry since January 2015. The organization lists Erin Potter, Npi Team Member, as its authorized official.

NPPES Registry Identity

NPI1922496280
Entity TypeOrganization
Primary Taxonomy261QV0200X
Legal Business NameJACKSON VAMC
Location Address1500 E WOODROW WILSON AVEJackson, MS 39216-5116
Mailing AddressPo Box 94497Cleveland, OH 44101-4497 · (615) 355-3451
Phone(615) 355-3451
Organization SubpartNo
Authorized OfficialErin PotterNpi Team Member · (202) 382-2579
Enumeration DateJanuary 8, 2015
Last NPPES UpdateJanuary 10, 2019
✔ NPI 1922496280 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · VAAmbulatory Health Care Facilities
Taxonomy Code261QV0200X
1500 E WOODROW WILSON AVE, Jackson, MS 39216
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Other Names 1

Other NameJackson Va Mobile Clinic

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.

MELISSA ALLENE GRAIG RN
Registered Nurse
1500 E WOODROW WILSON AVE
JACKSON, MS 39216
Hinds County (601) 362-4471
DR. ELIZABETH NOSEN PH.D.
Psychologist
1500 E WOODROW WILSON AVE
JACKSON, MS 39216
Hinds County (601) 362-4471
WHITNEY ROWELL GERBER
Pharmacist
1500 E WOODROW WILSON AVE
JACKSON, MS 39216
Hinds County (601) 364-1352
MS. SANDRA TERRY-TURNER RPH
Pharmacist
1500 E WOODROW WILSON AVE
JACKSON, MS 39216
Hinds County (601) 362-4471
MR. GLENN D SHAW R.PH.
Pharmacist
1500 E WOODROW WILSON AVE
JACKSON, MS 39216
Hinds County (601) 364-1555
MRS. ANGELA A. CAUSEY MS, RD
Dietitian, Registered
1500 E WOODROW WILSON AVE
JACKSON, MS 39216
Hinds County (601) 362-4471
SONNY MONTGOMERY V A M EDICAL CENTER
Chronic Disease Hospital
1500 E WOODROW WILSON AVE
JACKSON, MS 39216
Hinds County (601) 362-4471
MRS. MOLLY WILLIS HOKE LCSW
Social Worker (Clinical)
1500 E WOODROW WILSON AVE
JACKSON, MS 39216
Hinds County (601) 352-4471

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 Jackson Vamc's NPI number?

The NPI number for Jackson Vamc is 1922496280. It was assigned to this organization in the NPPES registry on January 8, 2015. The provider is also known as Jackson VA Mobile Clinic.

Where is Jackson Vamc located?

Jackson Vamc is located at 1500 E Woodrow Wilson Ave, Jackson, MS 39216. The listed phone number is (615) 355-3451.

What is Jackson Vamc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in VA, with taxonomy code 261QV0200X.

When was this NPI record last updated?

The NPPES record for Jackson Vamc was last updated on January 10, 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.