Individual provider Active NPI

Jacqueline D Boyd-Drummond, FNP-C

  • Nurse Practitioner
  • Jackson, MS
National Provider Identifier
1568719540
Registry record updated Aug 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
F08170574 Issued in MS
Practice address
2616 Southerland St Ste 100
Jackson, MS 39216-4855
Phone
(601) 665-4429
Fax
(612) 500-4737
NPI assigned
Aug 9, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X F08170574 MS Primary

Addresses

Primary practice location

2616 Southerland St Ste 100
Jackson, MS 39216-4855

Mailing address

163 Drummond Rd
Mendenhall, MS 39114-4348
Phone (662) 719-9120

Other identifiers 1

IdentifierTypeStateIssuer
R864187OtherMSNURSING LICENSE

Other names 1

  • Jacqueline D Boyd-Drummond Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
F08170574MSMDNurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1344470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755129600000",
    "number": "1568719540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "163 DRUMMOND RD",
            "city": "MENDENHALL",
            "state": "MS",
            "postal_code": "391144348",
            "telephone_number": "662-719-9120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2616 SOUTHERLAND ST STE 100",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392164855",
            "telephone_number": "601-665-4429",
            "fax_number": "612-500-4737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOYD-DRUMMOND",
        "first_name": "JACQUELINE",
        "middle_name": "D",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-08-09",
        "last_updated": "2025-08-14",
        "certification_date": "2025-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MS",
            "license": "F08170574",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NURSING LICENSE",
            "identifier": "R864187",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JACQUELINE",
            "last_name": "BOYD-DRUMMOND",
            "middle_name": "D",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

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 Aug 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.