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

Mrs. Jessica Braddock Childs, AGNP

Individual provider Registered Nurse · NPI 1467095869

Mrs. Jessica Braddock Childs, AGNP is a Registered Nurse in Tupelo, Mississippi. Practices as a sole proprietor and works from 2 locations. Licensed in Mississippi.

Licensed in
MS
In the registry since
2019
Specialties on file
2
What do these letters mean?
AGNP — Adult-Gerontology Nurse Practitioner
A nurse practitioner focused on adults and older people.

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Practice location Address checks out

1265 Cliff Gookin Blvd
Tupelo, MS 38801-6749
Phone: (662) 407-2544
Fax: (662) 620-9915
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 4566 S Eason Blvd, Tupelo, MS 38801-6540 — (662) 377-4920

Specialties & licences

Adult Health Nurse Practitioner (primary) Taxonomy 363LA2200X · Licence 905426 (MS)
Registered Nurse Taxonomy 163W00000X · Licence R874853 (MS)

Record details

NPI number1467095869
Entity typeIndividual (Type 1)
GenderFemale
Credentials AGNP
Sole proprietorYes
NPI enumeratedOctober 18, 2019
Last updated in NPPESOctober 14, 2022
Certification dateOctober 14, 2022

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