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

Julie Wyatt Dermatology Clinic, PLLC

Organization Dermatology Physician · NPI 1114409422

Julie Wyatt Dermatology Clinic, PLLC provides Dermatology Physician services in Jackson, Mississippi. Licensed in Mississippi. Registered with an NPI since 2018.

Licensed in
MS
In the registry since
2018
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3000 Old Canton Rd Ste 430
Jackson, MS 39216-4225
Phone: (601) 982-5441
Fax: (601) 982-5442
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X · Licence 20645 (MS)

Record details

NPI number1114409422
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Julie Wyatt — Owner · (601) 982-5441
NPI enumeratedSeptember 4, 2018
Last updated in NPPESSeptember 4, 2018
Mailing address3000 Old Canton Rd Ste 430, Jackson, MS 39216-4225

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