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

Carolyn Nelson

Individual provider Anesthesiology Physician · NPI 1962864942

Carolyn Nelson is an Anesthesiology Physician in Jackson, Mississippi. Licensed in Mississippi. Registered with an NPI since 2016.

Licensed in
MS
In the registry since
2016
Specialties on file
2

Practice location Address checks out

2500 N State St Dept OF Anesthesiology S-108
Jackson, MS 39216-4500
Phone: (601) 984-5914
Fax: (601) 984-5915
Show map & directions

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

Specialties & licences

Anesthesiology Physician (primary) Taxonomy 207L00000X · Licence 29074 (MS)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1962864942
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMarch 28, 2016
Last updated in NPPESJune 3, 2022
Certification dateMay 20, 2022
Mailing address504 Clinton Center Drive, Cbo-Suite 4300, Clinton, MS 39056-5610

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