Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mrs. Kristie Callahan, FNP-C

Individual provider Family Nurse Practitioner · NPI 1093129231

Mrs. Kristie Callahan, FNP-C is a Nurse Practitioner in Jackson, Mississippi. Qualified in 2014, 12 years ago. Practices with St Dominic Medical Associates LLC, a 127-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Mississippi.

Years since qualifying
12
Licensed in
MS
In the registry since
2014
What do these letters mean?
FNP-C — Family Nurse Practitioner, Certified
A family nurse practitioner certified by the AANP.

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Practice location Address checks out

971 Lakeland Dr Ste 557
Jackson, MS 39216-4643
Phone: (601) 200-4560
Fax: (601) 326-4632
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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 R881587 (MS)

Record details

NPI number1093129231
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP-C
Sole proprietorNo
NPI enumeratedJune 16, 2014
Last updated in NPPESJune 17, 2015

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice St. Dominic Medical Associates Llc — 127 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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