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

Mrs. Jennifer Sumrall Godbold, APRN, BC

Individual provider Family Nurse Practitioner · NPI 1073797338

Mrs. Jennifer Sumrall Godbold, APRN, BC is a Nurse Practitioner in Jackson, Mississippi. Qualified in 2007, 19 years ago. Practices with State of Mississippi - University of Mississippi Medical Center, a 952-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Mississippi.

Years since qualifying
19
Licensed in
MS
In the registry since
2007
What do these letters mean?
APRN — Advanced Practice Registered Nurse
The umbrella licence covering nurse practitioners, midwives, anaesthetists and clinical nurse specialists.
BC — Board Certified
Appended to another credential to show current board certification, as in APRN-BC.

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Practice location Address checks out

2500 N State Street Surgery
Jackson, MS 39216
Phone: (601) 984-5678
Fax: (601) 984-5638
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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 R865457 (MS)

Record details

NPI number1073797338
Entity typeIndividual (Type 1)
GenderFemale
Credentials APRN , BC
Sole proprietorNo
NPI enumeratedDecember 21, 2007
Last updated in NPPESDecember 16, 2014

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2007 (19 years in practice)
Group practice State Of Mississippi - University Of Mississippi Medical Center — 952 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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