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

Mrs. Jennifer Harris

Individual provider Family Nurse Practitioner · NPI 1912733148

Mrs. Jennifer Harris is a Nurse Practitioner in Southaven, Mississippi. Qualified in 2024, 2 years ago. Practices with Midsouth Medicine, a 6-clinician group and accepts Medicare assignment. Licensed in Mississippi.

Years since qualifying
2
Licensed in
MS
In the registry since
2024
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Practice location Address checks out

2149 Stateline Rd W
Southaven, MS 38671-1222
Phone: (662) 342-1112
Fax: (662) 393-1478
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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 906936 (MS)

Record details

NPI number1912733148
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedSeptember 12, 2024
Last updated in NPPESOctober 11, 2024
Certification dateOctober 11, 2024

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Midsouth Medicine — 6 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Southaven