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

Mrs. Lydia Jane Dungan, CRNP

Individual provider Acute Care Nurse Practitioner · NPI 1912367939

Mrs. Lydia Jane Dungan, CRNP is a Nurse Practitioner in Jackson, Mississippi. Qualified in 2015, 11 years ago. Practices with Medical Foundation of Central Mississippi Inc, a 273-clinician group and accepts Medicare assignment. Licensed in Alabama and Mississippi.

Years since qualifying
11
Licensed in
AL, MS
In the registry since
2016
Specialties on file
2
What do these letters mean?
CRNP — Certified Registered Nurse Practitioner
The title Pennsylvania and some other states use for a nurse practitioner.

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Practice location Address checks out

501 Marshall St Ste 104
Jackson, MS 39202-1663
Phone: (601) 969-6404
Fax: (601) 973-4541
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Acute Care Nurse Practitioner (primary) Taxonomy 363LA2100X · Licence 905545 (MS)
Acute Care Nurse Practitioner Taxonomy 363LA2100X · Licence 1-134689 (AL)

Record details

NPI number1912367939
Entity typeIndividual (Type 1)
GenderFemale
Credentials CRNP
Sole proprietorNo
NPI enumeratedMarch 3, 2016
Last updated in NPPESSeptember 23, 2022
Certification dateSeptember 23, 2022

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Medical Foundation Of Central Mississippi Inc — 273 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations6 on file with Medicare

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