Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Mall Services, LLC

Organization Community Health Worker · NPI 1063659340

Mall Services, LLC provides Community Health Worker services 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 Not confirmed with CMS for 17 years — call before visiting
Phone: (601) 982-0673
Fax: (601) 982-0459
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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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