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

Mississippi Medical Clinic

Organization Family Nurse Practitioner · NPI 1114694536

Mississippi Medical Clinic is a Family Nurse Practitioner in Taylorsville, Mississippi. Works from 2 locations. Registered with an NPI since 2021.

In the registry since
2021

Practice location Address checks out

403 Pine St
Taylorsville, MS 39168-5659
Phone: (601) 452-7080
Fax: (601) 452-7083
Show map & directions

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

Additional practice locations (1)

  • 2170 Simpson Hwy 49, Mendenhall, MS 39114 — (601) 452-7080

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X

Record details

NPI number1114694536
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Patty Bullock — Np Managing Partner · (601) 452-7080
NPI enumeratedAugust 24, 2021
Last updated in NPPESApril 25, 2022
Certification dateApril 11, 2022
Mailing address403 Pine St, Taylorsville, MS 39168-5659

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