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

MS. Samantha Smith Gipson, AGNP-C

Individual provider Primary Care Nurse Practitioner · NPI 1174163620

MS. Samantha Smith Gipson, AGNP-C is a Primary Care Nurse Practitioner in Jackson, Mississippi. Licensed in Mississippi. Registered with an NPI since 2020.

Licensed in
MS
In the registry since
2020

Practice location Address checks out

1500 E Woodrow Wilson Ave
Jackson, MS 39216-5116
Phone: (601) 362-4471
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Primary Care Nurse Practitioner (primary) Taxonomy 363LP2300X · Licence 903674 (MS)

Record details

NPI number1174163620
Entity typeIndividual (Type 1)
GenderFemale
Credentials AGNP-C
Sole proprietorNo
NPI enumeratedJanuary 13, 2020
Last updated in NPPESMay 7, 2026
Certification dateMay 7, 2026

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