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

Mallory Odom Jordan, FNP

Individual provider Family Nurse Practitioner · NPI 1073285573

Mallory Odom Jordan, FNP is a Nurse Practitioner in Bay Springs, Mississippi. Qualified in 2021, 5 years ago. Practices with Jasper General Hospital, a 9-clinician group and accepts Medicare assignment. Licensed in Mississippi.

Years since qualifying
5
Licensed in
MS
In the registry since
2021
What do these letters mean?
FNP — Family Nurse Practitioner
A nurse practitioner who treats patients of all ages, much like a family doctor.

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Practice location Address checks out

27 S Sixth St
Bay Springs, MS 39422-9052
Phone: (601) 764-2155
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 904891 (MS)

Record details

NPI number1073285573
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP
Sole proprietorNo
NPI enumeratedOctober 2, 2021
Last updated in NPPESOctober 2, 2021
Certification dateOctober 2, 2021

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Jasper General Hospital — 9 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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