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

Mississippi Medical Clinic of Mendehall

Organization Nurse Practitioner · NPI 1093499907

Mississippi Medical Clinic of Mendehall is a Nurse Practitioner in Mendenhall, Mississippi. Registered with an NPI since 2023.

In the registry since
2023

Practice location Address checks out

2170 Simpson Highway 49
Mendenhall, MS 39114-5418
Phone: (601) 675-1200
Fax: (601) 375-1209
Show map & directions

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

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X

Record details

NPI number1093499907
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Chante Ferguson — Owner · (601) 675-1200
Other names Mississippi Medical Clinic Mendenhall
NPI enumeratedJune 12, 2023
Last updated in NPPESFebruary 16, 2024
Certification dateFebruary 16, 2024
Mailing addressPo Box 335, Magee, MS 39111-0335

Other providers in Mendenhall