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

Mississippi Childrens Heart Clinic PLLC

Organization Pediatric Cardiology Physician · NPI 1366042236

Mississippi Childrens Heart Clinic PLLC provides Pediatric Cardiology Physician services in Jackson, Mississippi. Registered with an NPI since 2020.

In the registry since
2020
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

1190 N State St Ste 200
Jackson, MS 39202-2413
Phone: (601) 965-6100
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Cardiology Physician (primary) Taxonomy 2080P0202X

Record details

NPI number1366042236
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Stephanie Purvis — Office Manager · (601) 965-6100
Other names Ms Children'S Heart
NPI enumeratedOctober 29, 2020
Last updated in NPPESOctober 29, 2020
Certification dateOctober 29, 2020
Mailing addressPo Box 22646, Jackson, MS 39225-2646

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