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

Lisa Parker

Individual provider Family Nurse Practitioner · NPI 1063898286

Lisa Parker is a Nurse Practitioner in Jackson, Mississippi. Qualified in 2015, 11 years ago. Practices with St Dominic Jackson Memorial, a 55-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Mississippi.

Years since qualifying
11
Licensed in
MS
In the registry since
2015
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

969 Lakeland Dr
Jackson, MS 39216-4606
Phone: (601) 200-2000
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Additional practice locations (2)

  • 4541 N State St, Jackson, MS 39206-5308 — (601) 533-7017
  • 2080 S Frontage Rd Ste 100, Vicksburg, MS 39180-5883 — (985) 892-7070

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 865864 (MS)

Record details

NPI number1063898286
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 11, 2015
Last updated in NPPESJuly 31, 2024
Certification dateJuly 31, 2024
Mailing address5959 S Sherwood Forest Blvd, Baton Rouge, LA 70816-6038

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice St. Dominic Jackson Memorial — 55 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Jackson