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

Individual provider Pediatrics Physician · NPI 1790102788

Katelyn Rossow, MD is a Pediatric Medicine in Jackson, Mississippi. Graduated from University of Louisville School of Medicine in 2014, 12 years ago. Works from 3 locations. Licensed in Indiana, Kentucky and Tennessee.

Years since qualifying
12
Trained at
University of Louisville School of Medicine
Licensed in
IN, KY, TN
In the registry since
2014
Specialties on file
5
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

2500 N State St
Jackson, MS 39216-4500
Phone: (502) 588-0850
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 3601 The Vanderbilt Clinic, Nashville, TN 37232-0001 — (615) 322-3000
  • 2200 Children'S Way, Nashville, TN 37232 — (615) 322-3000

Specialties & licences

Developmental - Behavioral Pediatrics Physician (primary) Taxonomy 2080P0006X · Licence 55729 (KY)
Pediatrics Physician Taxonomy 208000000X · Licence 55729 (KY)
Pediatrics Physician Taxonomy 208000000X · Licence 01079254A (IN)
Developmental - Behavioral Pediatrics Physician Taxonomy 2080P0006X · Licence 01079254A (IN)
Developmental - Behavioral Pediatrics Physician Taxonomy 2080P0006X · Licence 56397 (TN)

Record details

NPI number1790102788
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 27, 2014
Last updated in NPPESJuly 15, 2025
Certification dateJuly 15, 2025
Mailing address2500 N State St, Jackson, MS 39216-4500

Medicare enrollment

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

Medicare specialtyPEDIATRIC MEDICINE
Medical schoolUNIVERSITY OF LOUISVILLE SCHOOL OF MEDICINE
Graduated 2014 (12 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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