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

Jenifer Justice, CRNP

Individual provider Family Nurse Practitioner · NPI 1043713167

Jenifer Justice, CRNP is a Nurse Practitioner in Vicksburg, Mississippi. Qualified in 2016, 10 years ago. Practices with Redmed LLC, a 56-clinician group and accepts Medicare assignment. Licensed in Mississippi.

Years since qualifying
10
Licensed in
MS
In the registry since
2018
What do these letters mean?
CRNP — Certified Registered Nurse Practitioner
The title Pennsylvania and some other states use for a nurse practitioner.

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Practice location Address checks out

1911 Mission 66 Ste B
Vicksburg, MS 39180-3762
Phone: (014) 562-5986
Fax: (855) 830-3484
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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 903324 (MS)

Record details

NPI number1043713167
Entity typeIndividual (Type 1)
GenderFemale
Credentials CRNP
Sole proprietorNo
NPI enumeratedMarch 15, 2018
Last updated in NPPESJanuary 13, 2025
Certification dateJanuary 13, 2025

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Redmed Llc — 56 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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