Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Jennifer Nichols Foreman, A-GNP-C

Individual provider Nurse Practitioner · NPI 1003281916

Jennifer Nichols Foreman, A-GNP-C is a Nurse Practitioner in Jackson, Mississippi. Qualified in 2015, 11 years ago. Practices with State of Mississippi - University of Mississippi Medical Center, a 952-clinician group and accepts Medicare assignment. Licensed in Mississippi.

Years since qualifying
11
Licensed in
MS
In the registry since
2015
Specialties on file
2
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Practice location Address checks out

2500 N State St
Jackson, MS 39216-4500
Phone: (601) 984-5657
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 901418 (MS)
Registered Nurse Taxonomy 163W00000X · Licence 882741 (MS)

Record details

NPI number1003281916
Entity typeIndividual (Type 1)
GenderFemale
Credentials A-GNP-C
Sole proprietorNo
NPI enumeratedDecember 2, 2015
Last updated in NPPESMay 24, 2016

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice State Of Mississippi - University Of Mississippi Medical Center — 952 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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