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

Timothy Conn Jr.

Individual provider Family Nurse Practitioner · NPI 1366977068

Timothy Conn Jr. is a Nurse Practitioner in Hattiesburg, Mississippi. Qualified in 2017, 9 years ago. Practices with MS Pain and Migraine, a 6-clinician group and accepts Medicare assignment. Licensed in Mississippi.

Years since qualifying
9
Licensed in
MS
In the registry since
2017
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Practice location Address checks out

5003 Hardy St Ste 200
Hattiesburg, MS 39402-1331
Phone: (601) 261-5700
Fax: (601) 261-5777
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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 874273 (MS)

Record details

NPI number1366977068
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMay 1, 2017
Last updated in NPPESApril 21, 2021
Certification dateApril 21, 2021

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Ms Pain And Migraine — 6 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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