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

Champion Care, LLC

Organization Nurse Practitioner · NPI 1568193175

Champion Care, LLC is a Nurse Practitioner in Jackson, Mississippi. Registered with an NPI since 2022.

In the registry since
2022
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1850 Chadwick Dr
Jackson, MS 39204-3404
Phone: (601) 790-0233
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X

Record details

NPI number1568193175
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Samantha Smith — Manager · (601) 790-0233
NPI enumeratedJune 23, 2022
Last updated in NPPESJune 23, 2022
Certification dateJanuary 20, 2022
Mailing addressPo Box 41, Ridgeland, MS 39158-0041

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