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

Primary and Behavioral Healthcare Services, PA

Organization Primary Care Clinic/Center · NPI 1710545488

Primary and Behavioral Healthcare Services, PA is a Primary Care Clinic/Center in Jackson, Mississippi. Works from 2 locations. Registered with an NPI since 2019.

In the registry since
2019
Specialties on file
2
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

717 E Fortification St
Jackson, MS 39202-2402
Phone: (769) 572-4009
Fax: (769) 572-4021
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2252 Tower Dr Ste 108, Monroe, LA 71201-5765 — (769) 572-4009

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X
Primary Care Clinic/Center Taxonomy 261QP2300X

Record details

NPI number1710545488
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Shameca Hudson — Chief Executive Officer · (769) 572-4009
NPI enumeratedMay 29, 2019
Last updated in NPPESOctober 4, 2024
Certification dateOctober 4, 2024
Mailing address717 E. Fortification St., Jackson, MS 39202-2402

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