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

State of Mississippi - University of Mississippi Medical Center

Organization Nurse Practitioner · NPI 1508012774

State of Mississippi - University of Mississippi Medical Center is a Nurse Practitioner in Jackson, Mississippi. Registered with an NPI since 2008.

In the registry since
2008

Practice location Address checks out

2500 N State St
Jackson, MS 39216-4500
Phone: (866) 842-7574
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 number1508012774
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official William Kennedy — Director Of Patient Financial Serv · (601) 984-4680
Other names University Ms Medical Center
NPI enumeratedAugust 7, 2008
Last updated in NPPESAugust 7, 2008
Mailing address2500 N State St, Jackson, MS 39216-4500

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