Active NPI
Gayle P Harrell LLC
- Family Nurse Practitioner
- Jackson, MS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- F0803026
- Legal business name
- GAYLE P HARRELL LLC
- Practice address
- 1190 N State St
Suite LL01
Jackson, MS 39202-2413 - Phone
- (601) 968-1000
- Fax
- (601) 944-9780
- NPI assigned
- Aug 4, 2009
- Last updated
- Dec 7, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Gayle Harrell
- Title
- Owner
- Phone
- (601) 672-9116
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | F0803026 | MS | Primary |
Addresses
Primary practice location
1190 N State St
Suite LL01
Jackson, MS 39202-2413
Mailing address
1190 N State St
Suite LL01
Jackson, MS 39202-2413
Phone (601) 968-1000
Other practice location 1
1260 Barker Rd
Pelahatchie, MS 39145-4031
Phone (601) 672-9116
National Provider Directory
National Provider DirectoryLocations
1040 River Oaks Dr
Ste 102
Jackson, MS 39232
Phone (601) 924-9152
1190 N State St
#1
Jackson, MS 39202
Phone (601) 292-4292
1225 N State St
Ste 400
Jackson, MS 39202
Phone (601) 968-1000
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Infectious Disease Physician
- Jackson, MS
- NPI 1356364905
-
- Student in an Organized Health Care Education/Training Program
- Jackson, MS
- NPI 1467392290
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1249344000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1670371200000",
"number": "1427289743",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1190 N STATE ST",
"address_2": "SUITE LL01",
"city": "JACKSON",
"state": "MS",
"postal_code": "392022413",
"telephone_number": "601-968-1000",
"fax_number": "601-944-9780"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1190 N STATE ST",
"address_2": "SUITE LL01",
"city": "JACKSON",
"state": "MS",
"postal_code": "392022413",
"telephone_number": "601-968-1000",
"fax_number": "601-944-9780"
}
],
"practiceLocations": [
{
"address_1": "1260 Barker Rd",
"address_purpose": "LOCATION",
"city": "Pelahatchie",
"state": "MS",
"postal_code": "391454031",
"country_code": "US",
"telephone_number": "601-672-9116",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "GAYLE P HARRELL LLC",
"organizational_subpart": "NO",
"enumeration_date": "2009-08-04",
"last_updated": "2022-12-07",
"certification_date": "2022-12-07",
"status": "A",
"authorized_official_last_name": "HARRELL",
"authorized_official_first_name": "GAYLE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "601-672-9116"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": "MS",
"license": "F0803026",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jackson, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.