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

Mrs. Joanna R McCollum, CFNP

Individual provider Nurse Practitioner · NPI 1649390782

Mrs. Joanna R McCollum, CFNP is a Nurse Practitioner in Jackson, Mississippi. Qualified in 2006, 20 years ago. Practices with Maxem Health Urgent Care McComb, a 9-clinician group and accepts Medicare assignment. Licensed in Mississippi.

Years since qualifying
20
Licensed in
MS
In the registry since
2007
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Practice location Address checks out

1860 Chadwick Dr Ste 254
Jackson, MS 39204-3463
Phone: (601) 376-2818
Fax: (601) 376-2831
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence R859382 (MS)

Record details

NPI number1649390782
Entity typeIndividual (Type 1)
GenderFemale
Credentials CFNP
Sole proprietorNo
NPI enumeratedMarch 30, 2007
Last updated in NPPESAugust 21, 2013

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2006 (20 years in practice)
Group practice Maxem Health Urgent Care McComb — 9 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations8 on file with Medicare

Other providers in Jackson