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

Prime Care Clinic of Clinton, LLC

Organization Adult Health Nurse Practitioner · NPI 1790444263

Prime Care Clinic of Clinton, LLC is an Adult Health Nurse Practitioner in Clinton, Mississippi. Registered with an NPI since 2021.

In the registry since
2021
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

709 Clinton Pkwy
Clinton, MS 39056-5245
Phone: (601) 259-9532
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Adult Health Nurse Practitioner (primary) Taxonomy 363LA2200X

Record details

NPI number1790444263
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Justin Jackson — Member/Coo · (601) 519-7692
NPI enumeratedDecember 13, 2021
Last updated in NPPESJanuary 25, 2022
Certification dateJanuary 25, 2022
Mailing addressPo Box 785, Clinton, MS 39060-0785

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