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 Registered Dietitian · NPI 1699857433

State of Mississippi-University of Mississippi Medical Center is a Registered Dietitian in Jackson, Mississippi. Registered with an NPI since 2006.

In the registry since
2006
Specialties on file
3

Practice location Address checks out

2500 N State St Pfs
Jackson, MS 39216-4500
Phone: (601) 984-4619
Fax: (601) 984-4657
Show map & directions

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

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X
Registered Dietitian Taxonomy 133V00000X
Certified Registered Nurse Anesthetist Taxonomy 367500000X

Record details

NPI number1699857433
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official William Kennedy — Associate Administor · (601) 986-4699
NPI enumeratedOctober 20, 2006
Last updated in NPPESApril 20, 2008
Mailing address2500 N State St, Jackson, MS 39216-4500

Other providers in Jackson