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

Mississippi Childrens Heart Clinic PLLC

Organization Pediatric Cardiology Physician · NPI 1366042236

Mississippi Childrens Heart Clinic PLLC is a Pediatric Cardiology Physician in Jackson, Mississippi. Registered with an NPI since 2020.

In the registry since
2020
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

1190 N State St Ste 200
Jackson, MS 39202-2413
Phone: (601) 965-6100
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Cardiology Physician (primary) Taxonomy 2080P0202X

Record details

NPI number1366042236
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Stephanie Purvis — Office Manager · (601) 965-6100
Other names Ms Children'S Heart
NPI enumeratedOctober 29, 2020
Last updated in NPPESOctober 29, 2020
Certification dateOctober 29, 2020
Mailing addressPo Box 22646, Jackson, MS 39225-2646

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