Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Mimi Pham, MD

Individual provider Psychiatry Physician · NPI 1568105716

Mimi Pham, MD is a Psychiatry Physician in Jackson, Mississippi. Licensed in Louisiana. Registered with an NPI since 2022.

Licensed in
LA
In the registry since
2022
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

2500 N State St
Jackson, MS 39216-4500
Phone: (601) 984-6925
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X · Licence 354902 (LA)

Record details

NPI number1568105716
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 15, 2022
Last updated in NPPESOctober 22, 2026
Certification dateOctober 22, 2026

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