Individual provider Active NPI

Youlanda R Jones, FNP-C

  • Family Nurse Practitioner
  • Vicksburg, MS
National Provider Identifier
1407508294
Registry record updated Aug 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
905110 Issued in MS
Practice address
2059 US-61
Vicksburg, MS 39183
Phone
(601) 429-1144
NPI assigned
Jan 22, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 20, 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 905110 MS Primary

Addresses

Primary practice location

2059 US-61
Vicksburg, MS 39183

Mailing address

PO Box 326
Clinton, MS 39060-0326
Phone (601) 624-3569

Other practice location 1

2121 Grand Ave
Yazoo City, MS 39194-2312
Phone (662) 716-8071

Other practice location 2

604 Highway 80 W # K3
Clinton, MS 39056-4108
Phone (601) 624-3569

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
I20221119000200 MS Practitioner - Nurse Practitioner 4385012509 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Fast Pace Mississippi PLLCGroup PAC ID 3678832029, 192 clinicians

Practice addresses (Care Compare)

1008 Azalea Dr
Waynesboro, MS 39367-2499
Phone (601) 509-2584

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Upperline Healthcare, PC Single Specialty CurrentSince Sep 18, 2025 Accepting new patients
Fast Pace Mississippi, PLLC CurrentSince Oct 1, 2022 Accepting new patients
Fast Pace Mississippi, PLLC Single Specialty CurrentSince Oct 1, 2022 Accepting new patients
Upperline Healthcare, PC CurrentSince Sep 18, 2025 Accepting new patients

Locations

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

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

934 S Gloster St
Tupelo, MS 38801
Phone (623) 465-9466

1008 Azalea Dr
Waynesboro, MS 39367
Phone (601) 509-2584

2121 Grand Ave
Yazoo City, MS 39194
Phone (662) 716-8071

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1642809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787184000000",
    "number": "1407508294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 326",
            "city": "CLINTON",
            "state": "MS",
            "postal_code": "390600326",
            "telephone_number": "601-624-3569"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2059 US-61",
            "city": "VICKSBURG",
            "state": "MS",
            "postal_code": "39183",
            "telephone_number": "601-429-1144"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2121 Grand Ave",
            "address_purpose": "LOCATION",
            "city": "Yazoo City",
            "state": "MS",
            "postal_code": "391942312",
            "country_code": "US",
            "telephone_number": "662-716-8071",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "604 Highway 80 W # K3",
            "address_purpose": "LOCATION",
            "city": "Clinton",
            "state": "MS",
            "postal_code": "390564108",
            "country_code": "US",
            "telephone_number": "601-624-3569",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JONES",
        "first_name": "YOULANDA",
        "middle_name": "R",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-01-22",
        "last_updated": "2026-08-20",
        "certification_date": "2026-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "905110",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vicksburg, MS

Sources for this page

Verify at the official NPI Registry.