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

Mindy Jo Edna Williamson, FNP

Individual provider Family Nurse Practitioner · NPI 1376858761

Mindy Jo Edna Williamson, FNP is a Nurse Practitioner in Jackson, Mississippi. Qualified in 2010, 16 years ago. Practices with Kings Daughters Medical Center, a 76-clinician group and accepts Medicare assignment. Licensed in Mississippi.

Years since qualifying
16
Licensed in
MS
In the registry since
2010
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

970 Lakeland Dr Ste 61
Jackson, MS 39216-4634
Phone: (662) 552-2512
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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 R876935 (MS)

Record details

NPI number1376858761
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP
Sole proprietorNo
NPI enumeratedAugust 10, 2010
Last updated in NPPESFebruary 11, 2026
Certification dateFebruary 11, 2026

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2010 (16 years in practice)
Group practice Kings Daughters Medical Center — 76 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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