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

Mississippi Medical Clinic of Mendehall

Organization Nurse Practitioner · NPI 1093499907

Mississippi Medical Clinic of Mendehall provides Nurse Practitioner services in Mendenhall, Mississippi. Registered with an NPI since 2023.

In the registry since
2023

Practice location Address checks out

2170 Simpson Highway 49
Mendenhall, MS 39114-5418
Phone: (601) 675-1200
Fax: (601) 375-1209
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X

Record details

NPI number1093499907
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Chante Ferguson — Owner · (601) 675-1200
Other names Mississippi Medical Clinic Mendenhall
NPI enumeratedJune 12, 2023
Last updated in NPPESFebruary 16, 2024
Certification dateFebruary 16, 2024
Mailing addressPo Box 335, Magee, MS 39111-0335

Other providers in Mendenhall