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

Virginia Henley Malone

Individual provider Nurse Practitioner · NPI 1760117022

Virginia Henley Malone is a Nurse Practitioner in Jackson, Mississippi. Graduated from University of South Alabama College of Medicine in 2022, 4 years ago. Practices with St Dominic Jackson Memorial, a 55-clinician group and accepts Medicare assignment. Licensed in Mississippi.

Years since qualifying
4
Trained at
University of South Alabama College of Medicine
Licensed in
MS
In the registry since
2022
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Practice location Address checks out

969 Lakeland Dr
Jackson, MS 39216-4606
Phone: (601) 200-2000
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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 905454 (MS)

Record details

NPI number1760117022
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJuly 20, 2022
Last updated in NPPESNovember 5, 2024
Certification dateNovember 5, 2024
Mailing address969 Lakeland Dr, Jackson, MS 39216-4606

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolUNIVERSITY OF SOUTH ALABAMA COLLEGE OF MEDICINE
Graduated 2022 (4 years in practice)
Group practice St. Dominic Jackson Memorial — 55 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Jackson