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

Kimyuana Jackson Dorris, PMHNP, AGNP-C

Individual provider Adult Medicine Physician · NPI 1184222374

Kimyuana Jackson Dorris, PMHNP, AGNP-C is a Nurse Practitioner in Flowood, Mississippi. Qualified in 2019, 7 years ago. Practices with Maxie Gordon MD and Associates, PLLC, a 2-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Mississippi.

Years since qualifying
7
Licensed in
MS
In the registry since
2020
What do these letters mean?
PMHNP — Psychiatric-Mental Health Nurse Practitioner
A nurse practitioner specialising in mental health, able to prescribe psychiatric medication.

See every abbreviation used in this directory →

Practice location Address checks out

215 Katherine Dr Ste A
Flowood, MS 39232-9588
Phone: (601) 665-4162
Fax: (888) 398-1151
Show map & directions

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

Additional practice locations (2)

  • 590 Springridge Rd, Clinton, MS 39056-5606 — (190) 456-3568
  • 20 Hobo Fork Rd, Natchez, MS 39120-9025 — (601) 304-2558

Specialties & licences

Adult Medicine Physician (primary) Taxonomy 207QA0505X · Licence 904207 (MS)

Record details

NPI number1184222374
Entity typeIndividual (Type 1)
GenderFemale
Credentials PMHNP , AGNP-C
Sole proprietorNo
NPI enumeratedOctober 11, 2020
Last updated in NPPESAugust 6, 2026
Certification dateAugust 6, 2026

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Maxie Gordon Md And Associates, Pllc — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Flowood