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

Katherine Puckett Ginn, NP

Individual provider Nurse Practitioner · NPI 1114403268

Katherine Puckett Ginn, NP is a Nurse Practitioner in Jackson, Mississippi. Qualified in 2018, 8 years ago. Practices with St Dominic Medical Associates LLC, a 127-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Mississippi.

Years since qualifying
8
Licensed in
MS
In the registry since
2018
Specialties on file
2
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

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Practice location Address checks out

969 Lakeland Dr
Jackson, MS 39216-4606
Phone: (601) 200-2637
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 1040 River Oaks Dr Ste 302, Flowood, MS 39232-9575 — (601) 939-9923
  • 970 Lakeland Dr Ste 49, Jackson, MS 39216-4634 — (601) 200-4850

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 902808 (MS)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 902808 (MS)

Record details

NPI number1114403268
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorNo
NPI enumeratedJuly 12, 2018
Last updated in NPPESOctober 24, 2025
Certification dateOctober 24, 2025

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice St. Dominic Medical Associates Llc — 127 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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