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

Dr. Mary Hannah Bucklew, NP

Individual provider Nurse Practitioner · NPI 1467024901

Dr. Mary Hannah Bucklew, NP is a Nurse Practitioner in Jackson, Mississippi. Qualified in 2020, 6 years ago. Practices with Mississippi Sports Medicine and Orthopaedic Center, a 73-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Mississippi.

Years since qualifying
6
Licensed in
MS
In the registry since
2021
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

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Practice location Address checks out

1325 E Fortification St
Jackson, MS 39202-2442
Phone: (601) 354-4488
Fax: (601) 351-5980
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 14724 Highway 15 N, Louisville, MS 39339-6318 — (662) 773-7500

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 904350 (MS)

Record details

NPI number1467024901
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorNo
NPI enumeratedJuly 14, 2021
Last updated in NPPESFebruary 5, 2024
Certification dateFebruary 5, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Mississippi Sports Medicine And Orthopaedic Center — 73 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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