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

Primary Family Medical Clinic

Organization Nurse Practitioner · NPI 1093204158

Primary Family Medical Clinic is a Nurse Practitioner in Byram, Mississippi. Licensed in Mississippi. Registered with an NPI since 2018.

Licensed in
MS
In the registry since
2018

Practice location Address checks out

100 Marker Place Dr Ste D
Byram, MS 39272
Phone: (601) 672-4661
Fax: (769) 300-8068
Show map & directions

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

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence R772161 (MS)

Record details

NPI number1093204158
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Sandra Thomas — Family Nurse Practitioner · (601) 372-1221
Other names Primary Family Medical Clinic
NPI enumeratedMay 4, 2018
Last updated in NPPESOctober 29, 2019
Mailing address100 Marketplace Dr Ste D, Byram, MS 39272-8974

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