Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Central Jackson Medical Clinic, Inc

Organization Family Nurse Practitioner · NPI 1285967943

Central Jackson Medical Clinic, Inc provides Family Nurse Practitioner services in Jackson, Mississippi. Licensed in Mississippi. Registered with an NPI since 2009.

Licensed in
MS
In the registry since
2009
Specialties on file
2
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

514 C E Woodrow Wilson
Jackson, MS 39216-4538 Not confirmed with CMS for 17 years — call before visiting
Phone: (601) 981-7198
Fax: (601) 981-6616
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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 R733308 (MS)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence R718637 (MS)

Record details

NPI number1285967943
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Iphogenier Barry — President · (601) 981-7198
NPI enumeratedSeptember 14, 2009
Last updated in NPPESSeptember 14, 2009
Mailing address514 C E Woodrow Wilson, Jackson, MS 39216-4538

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