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

Organization Psychiatry Physician · NPI 1790477636

Four Corners Psychiatry PLLC is a Psychiatry Physician in Jackson, Mississippi. Registered with an NPI since 2023.

In the registry since
2023
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1225 N State St
Jackson, MS 39202-2064
Phone: (601) 968-1031
Fax: (601) 292-4520
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X

Record details

NPI number1790477636
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jared Taylor — Sole Mbr · (601) 946-9372
NPI enumeratedMay 22, 2023
Last updated in NPPESMay 22, 2023
Certification dateMay 20, 2023
Mailing address1888 Main St Ste C, Madison, MS 39110-6337

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