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

Thomas Blake Berry

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1932935327

Thomas Blake Berry is a Student in an Organized Health Care Education/Training Program in Jackson, Mississippi. Registered with an NPI since 2024.

In the registry since
2024

Practice location Address checks out

2500 N State St
Jackson, MS 39216
Phone: (601) 984-5012
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1932935327
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedSeptember 11, 2024
Last updated in NPPESSeptember 11, 2024
Certification dateSeptember 11, 2024
Mailing address2500 North State Street, Attn School Of Medicine, Jackson, MS 39216

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