Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Lisa J Oswalt- Simmons, CFNP

Individual provider Family Nurse Practitioner · NPI 1154501096

Lisa J Oswalt- Simmons, CFNP is a Nurse Practitioner in Jackson, Mississippi. Qualified in 1997, 29 years ago. Practices with St Dominic Jackson Memorial, a 55-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Mississippi.

Years since qualifying
29
Licensed in
MS
In the registry since
2007
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Practice location Address checks out

3502 W Northside Dr
Jackson, MS 39213-4454
Phone: (601) 362-5321
Fax: (601) 362-5321
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 969 Lakeland Dr, Jackson, MS 39216-4606 — (601) 200-3631

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 724335 (MS)

Record details

NPI number1154501096
Entity typeIndividual (Type 1)
GenderFemale
Credentials CFNP
Sole proprietorNo
NPI enumeratedNovember 8, 2007
Last updated in NPPESJuly 28, 2025
Certification dateJuly 28, 2025

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 1997 (29 years in practice)
Group practice St. Dominic Jackson Memorial — 55 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Jackson