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

Jequetta Shureka Ilion McLaurin, FNP

Individual provider Family Nurse Practitioner · NPI 1013698513

Jequetta Shureka Ilion McLaurin, FNP is a Nurse Practitioner in Jackson, Mississippi. Qualified in 2021, 5 years ago. Practices with Central Mississippi Civic Improvement Association, Inc, a 50-clinician group and accepts Medicare assignment. Licensed in Mississippi.

Years since qualifying
5
Licensed in
MS
In the registry since
2023
What do these letters mean?
FNP — Family Nurse Practitioner
A nurse practitioner who treats patients of all ages, much like a family doctor.

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Practice location Address checks out

3502 W Northside Dr
Jackson, MS 39213-4454
Phone: (601) 362-5321
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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 906074 (MS)

Record details

NPI number1013698513
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP
Sole proprietorNo
NPI enumeratedJuly 27, 2023
Last updated in NPPESAugust 2, 2023
Certification dateAugust 2, 2023

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Central Mississippi Civic Improvement Association, Inc — 50 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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