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

North Jackson Medical Clinic PLLC

Organization Internal Medicine Physician · NPI 1659471407

North Jackson Medical Clinic PLLC is an Internal Medicine Physician in Jackson, Mississippi. Licensed in Mississippi. Registered with an NPI since 2006.

Licensed in
MS
In the registry since
2006
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

5160 Galaxie Dr
Jackson, MS 39206-4308
Phone: (601) 713-0890
Fax: (601) 366-3415
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 15143 (MS)

Record details

NPI number1659471407
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Adesola Shekoni — Physician · (601) 713-0890
NPI enumeratedSeptember 22, 2006
Last updated in NPPESApril 8, 2008
Mailing addressPo Box 4522, Jackson, MS 39296-4522

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