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

Mall Services, LLC

Organization Community Health Worker · NPI 1063659340

Mall Services, LLC is a Community Health Worker 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?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

809 N State St
Jackson, MS 39202-2604
Phone: (601) 982-0673
Fax: (601) 982-0459
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence R656046 (MS)
Community Health Worker Taxonomy 172V00000X · Licence P320574 (MS)

Record details

NPI number1063659340
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Christal Rogers — Office Assistant · (601) 982-0673
Other names 809 Convenient Care Clinic
NPI enumeratedJanuary 8, 2009
Last updated in NPPESJanuary 8, 2009
Mailing address350 W Woodrow Wilson Ave, Suite 615, Jackson, MS 39213-7681

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