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

Kallie Elizabeth Sheridan

Individual provider Pediatrics Physician · NPI 1609631134

Kallie Elizabeth Sheridan is a Pediatrics Physician in Jackson, Mississippi. Licensed in Mississippi. Registered with an NPI since 2024.

Licensed in
MS
In the registry since
2024

Practice location Address checks out

2500 N State St
Jackson, MS 39216-4500
Phone: (601) 984-5012
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence T-5894 (MS)

Record details

NPI number1609631134
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedFebruary 14, 2024
Last updated in NPPESJuly 1, 2025
Certification dateJuly 1, 2025

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