Mall Services, LLC
NPI 1063659340ActiveOrganization· Nurse Practitioner, Family· Jackson, MS
Nurse Practitioner, Family in Jackson, Mississippi, registered in NPPES in January 2009. The authorized official on file is Christal Rogers, LPN, Office Assistant.
Overview
| NPI | 1063659340 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jan 8, 2009 |
| Last updated in NPPES | Jan 8, 2009 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Family Primary | 363LF0000X | R656046 | MS |
| Community Health Worker | 172V00000X | P320574 | MS |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Other Nurse Practitioner, Family providers in Jackson
- 1306118823
- 1144040080
- 1285967943
- 1427289743
- 1669987723
- 1821004532
- 1528475357
- 1861803223
- 1891233276
- 1508263179
- 1063786036
- 1578580528