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

Julie Wyatt Dermatology Clinic, PLLC

Organization Dermatology Physician · NPI 1114409422

Julie Wyatt Dermatology Clinic, PLLC is a Dermatology Physician in Jackson, Mississippi. Licensed in Mississippi. Registered with an NPI since 2018.

Licensed in
MS
In the registry since
2018
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

3000 Old Canton Rd Ste 430
Jackson, MS 39216-4225
Phone: (601) 982-5441
Fax: (601) 982-5442
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X · Licence 20645 (MS)

Record details

NPI number1114409422
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Julie Wyatt — Owner · (601) 982-5441
NPI enumeratedSeptember 4, 2018
Last updated in NPPESSeptember 4, 2018
Mailing address3000 Old Canton Rd Ste 430, Jackson, MS 39216-4225

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