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

Miss. Modupe Harriet Ajisafe, MD

Individual provider Family Medicine Physician · NPI 1306632344

Miss. Modupe Harriet Ajisafe, MD is a Family Medicine Physician in Jackson, Mississippi. Licensed in Mississippi. Registered with an NPI since 2025.

Licensed in
MS
In the registry since
2025
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Partly verified

Some contact details are missing from the federal record.

Department Of Family Medicine 2500 N State St
Jackson, MS 39216
Phone: (601) 984-5426
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence T5940 (MS)

Record details

NPI number1306632344
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 16, 2025
Last updated in NPPESNovember 5, 2025
Certification dateNovember 5, 2025

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