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

Jonathan Smith, FNP

Individual provider Family Nurse Practitioner · NPI 1205505666

Jonathan Smith, FNP is a Nurse Practitioner in Brookhaven, Mississippi. Qualified in 2020, 6 years ago. Practices with Kings Daughters Medical Center, a 76-clinician group and accepts Medicare assignment. Licensed in Mississippi.

Years since qualifying
6
Licensed in
MS
In the registry since
2021
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

601 Brookman Dr Ext
Brookhaven, MS 39601-2371
Phone: (601) 823-5275
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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 904849 (MS)

Record details

NPI number1205505666
Entity typeIndividual (Type 1)
GenderMale
Credentials FNP
Sole proprietorYes
NPI enumeratedSeptember 9, 2021
Last updated in NPPESJune 12, 2023
Certification dateJune 12, 2023
Mailing address427 Highway 51 N, Brookhaven, MS 39601-2350

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 Kings Daughters Medical Center — 76 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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