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State of Mississippi - University of Mississippi Medical Center

NPI 1508012774ActiveOrganization· Nurse Practitioner· Jackson, MS

Nurse Practitioner in Jackson, Mississippi, registered in NPPES in August 2008. The authorized official on file is William Kennedy, Director Of Patient Financial Serv.

Overview

NPI1508012774
StatusActive
Entity typeOrganization
NPI issuedAug 7, 2008
Last updated in NPPESAug 7, 2008

Specialties and licenses

TaxonomyCodeLicenseState
Nurse Practitioner Primary363L00000X——

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 4, 2026No match—
New York OMIG · Nov 4, 2026No match—
Ohio Medicaid · Nov 4, 2026No match—
Pennsylvania Medicheck · Nov 4, 2026No match—
Washington HCA · Nov 4, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

Other Nurse Practitioner providers in Jackson

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