Individual provider Active NPI

Jalisha Brown, FNP-C

  • Family Nurse Practitioner
  • Meridian, MS
National Provider Identifier
1164038444
Registry record updated Sep 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
904129 Issued in MS
Practice address
2701 Davis St
Meridian, MS 39301-5708
Phone
(601) 639-0118
NPI assigned
Sep 22, 2020
Last updated
Sep 14, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 904129 MS Primary

Addresses

Primary practice location

2701 Davis St
Meridian, MS 39301-5708

Mailing address

383 Briarwood Rd Lot 168
Meridian, MS 39305-9109
Phone (601) 938-3932

Other practice location 1

4728 Highway 39 N
Meridian, MS 39301-1015
Phone (731) 394-1145

Other practice location 2

927 Edward E Nave Dr
Scooba, MS 39358-7478
Phone (601) 476-9595

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201019001664 MS Practitioner - Nurse Practitioner 2567882244 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Fast Pace Mississippi PLLCGroup PAC ID 3678832029, 192 clinicians
Ultra Health LLCGroup PAC ID 6800186602, 151 clinicians

Practice addresses (Care Compare)

2700 N Hills St
Meridian, MS 39305-2641
Phone (601) 685-3010

4728 Hwy 39 N
Meridian, MS 39301-1015
Phone (731) 394-1145

50 Veterans Memorial Dr
Kosciusko, MS 39090-3424
Phone (662) 307-2884

517 City Ave S
Ripley, MS 38663-2517
Phone (662) 587-8206

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
904129MSMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Greater Meridian Health Clinic, Inc CurrentSince Oct 16, 2020 Accepting new patients
Greater Meridian Health Clinic, Inc. CurrentSince Oct 16, 2020 Accepting new patients
Upperline Healthcare, PC CurrentSince Sep 1, 2025 Accepting new patients
Fast Pace Mississippi, PLLC Family CurrentSince Apr 1, 2023 Accepting new patients
Upperline Healthcare, PC CurrentSince Sep 1, 2025 Accepting new patients
Fast Pace Mississippi, PLLC CurrentSince Apr 1, 2023 Accepting new patients
Ultra Health LLC CurrentSince Oct 21, 2024 Accepting new patients
Greater Meridian Health Clinic, Inc. Current Accepting new patients

Locations

156 E Walnut Ave
Eupora, MS 39744
Phone (662) 258-8293

7 Professional Pkwy
Ste 101
Hattiesburg, MS 39402
Phone (601) 781-1661

1220 E Northside Dr
Ste 170
Jackson, MS 39211
Phone (601) 394-8209

2701 Davis St
Meridian, MS 39301
Phone (601) 693-0118

4728 Highway 39 N
Meridian, MS 39301
Phone (601) 482-8151

900 44th Ave
#G
Meridian, MS 39307
Phone (601) 693-0118

517 City Ave S
Ripley, MS 38663
Phone (662) 587-8206

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/14578/brand/1/csg/1/fhir/r4
  • FHIR API: https://fhir4.healow.com/fhir/r4/EJDBBA

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1600732800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789344000000",
    "number": "1164038444",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "383 BRIARWOOD RD LOT 168",
            "city": "MERIDIAN",
            "state": "MS",
            "postal_code": "393059109",
            "telephone_number": "601-938-3932"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2701 DAVIS ST",
            "city": "MERIDIAN",
            "state": "MS",
            "postal_code": "393015708",
            "telephone_number": "601-639-0118"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4728 Highway 39 N",
            "address_purpose": "LOCATION",
            "city": "Meridian",
            "state": "MS",
            "postal_code": "393011015",
            "country_code": "US",
            "telephone_number": "731-394-1145",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "927 Edward E Nave Dr",
            "address_purpose": "LOCATION",
            "city": "Scooba",
            "state": "MS",
            "postal_code": "393587478",
            "country_code": "US",
            "telephone_number": "601-476-9595",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BROWN",
        "first_name": "JALISHA",
        "name_prefix": "Mrs.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-22",
        "last_updated": "2026-09-14",
        "certification_date": "2026-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "904129",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Meridian, MS

Sources for this page

Verify at the official NPI Registry.