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

Jackson Neurocare, PLLC

Organization Neurology Physician · NPI 1770987638

Jackson Neurocare, PLLC is a Neurology Physician in Jackson, Mississippi. Licensed in Mississippi. Registered with an NPI since 2014.

Licensed in
MS
In the registry since
2014
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

971 Lakeland Dr Ste 557 West Tower
Jackson, MS 39216-4607
Phone: (601) 939-0361
Fax: (601) 939-5210
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Neurology Physician (primary) Taxonomy 2084N0400X · Licence 11722 (MS)

Record details

NPI number1770987638
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Ruth Fredericks — Owner · (601) 939-0361
NPI enumeratedOctober 21, 2014
Last updated in NPPESOctober 21, 2014
Mailing address971 Lakeland Drive, Suite 557, West Tower, Jackson, MS 39216-4607

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