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

Lydia Rose

Individual provider Internal Medicine Physician · NPI 1588241004

Lydia Rose is an Internal Medicine Physician in Jackson, Mississippi. Licensed in Mississippi. Registered with an NPI since 2021.

Licensed in
MS
In the registry since
2021

Practice location Address checks out

2500 N State St
Jackson, MS 39216-4500
Phone: (601) 984-1000
Show map & directions

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

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence T-4400 (MS)

Record details

NPI number1588241004
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMarch 29, 2021
Last updated in NPPESJuly 8, 2021
Certification dateJuly 6, 2021
Mailing address3805 Crane Blvd, Jackson, MS 39216-3608

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