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

Mrs. Jessie Lilley Van Etten, FNP-BC

Individual provider Family Nurse Practitioner · NPI 1528980612

Mrs. Jessie Lilley Van Etten, FNP-BC is a Family Nurse Practitioner in Jackson, Mississippi. Licensed in Mississippi. Registered with an NPI since 2026.

Licensed in
MS
In the registry since
2026
What do these letters mean?
FNP-BC — Family Nurse Practitioner, Board Certified
A family nurse practitioner certified by the ANCC.

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Practice location Address checks out

6380 Clinton Tinnin Rd
Jackson, MS 39209-9119
Phone: (601) 978-0764
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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 908645 (MS)

Record details

NPI number1528980612
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP-BC
Sole proprietorNo
NPI enumeratedJuly 29, 2026
Last updated in NPPESJuly 29, 2026
Certification dateJuly 12, 2026

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