Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Jackie Evette Brown

Individual provider Family Nurse Practitioner · NPI 1902656564

Jackie Evette Brown is a Nurse Practitioner in Southaven, Mississippi. Qualified in 2024, 2 years ago. Practices with Fast Pace Mississippi PLLC, a 189-clinician group and accepts Medicare assignment. Licensed in Mississippi.

Years since qualifying
2
Licensed in
MS
In the registry since
2024
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Practice location Address checks out

1161 Church Rd W
Southaven, MS 38671-7144
Phone: (662) 253-1067
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 906591 (MS)

Record details

NPI number1902656564
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMarch 26, 2024
Last updated in NPPESMarch 26, 2024
Certification dateMarch 26, 2024

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Fast Pace Mississippi Pllc — 189 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Medicare patients and services, 2024

From the CMS Medicare Physician & Other Practitioners file for calendar year 2024. It counts Original Medicare patients only, so a practice that mostly sees Medicare Advantage or privately insured patients looks smaller here than it is.

Medicare patients70
Services billed 290 a service is one billed item, such as a visit, a test or a procedure
Average patient age67

Dollar amounts are not shown. What Medicare pays a practice is gross billings, before staff, premises and tax and including the cost of any drugs it administers, so it is not what a clinician earns.

Colleagues at Fast Pace Mississippi PLLC

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 189 clinicians in the practice; 12 are shown here.

Other providers in Southaven