Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Central Jackson Medical Clinic, Inc

Organization Family Nurse Practitioner · NPI 1285967943

Central Jackson Medical Clinic, Inc is a Family Nurse Practitioner in Jackson, Mississippi. Licensed in Mississippi. Registered with an NPI since 2009.

Licensed in
MS
In the registry since
2009
Specialties on file
2
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

514 C E Woodrow Wilson
Jackson, MS 39216-4538
Phone: (601) 981-7198
Fax: (601) 981-6616
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence R733308 (MS)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence R718637 (MS)

Record details

NPI number1285967943
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Iphogenier Barry — President · (601) 981-7198
NPI enumeratedSeptember 14, 2009
Last updated in NPPESSeptember 14, 2009
Mailing address514 C E Woodrow Wilson, Jackson, MS 39216-4538

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