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

Priscilla Elizabeth Pulliam, NP

Individual provider Nurse Practitioner · NPI 1114975505

Priscilla Elizabeth Pulliam, NP is a Nurse Practitioner in Jackson, Mississippi. Qualified in 2004, 22 years ago. Practices with Grenada Emergency Group, LLC, a 37-clinician group and accepts Medicare assignment. Licensed in Mississippi.

Years since qualifying
22
Licensed in
MS
In the registry since
2006
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

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Practice location Address checks out

1030 River Oaks Dr
Jackson, MS 39232-9553
Phone: (601) 924-3719
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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 865613 (MS)

Record details

NPI number1114975505
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorNo
NPI enumeratedMay 5, 2006
Last updated in NPPESMay 23, 2023
Certification dateMay 23, 2023
Mailing address2500 North State Street, Jmm Room 2525, Jackson, MS 39216-4500

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2004 (22 years in practice)
Group practice Grenada Emergency Group, Llc — 37 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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