Active NPI
Jenny Taylor, FNP-BC
- Family Nurse Practitioner
- Grenada, MS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 902271
- Practice address
- 350 Sunset Drive
Grenada, MS 38901 - Phone
- (662) 307-2750
- NPI assigned
- Feb 10, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 902271 | MS | Primary |
Addresses
Primary practice location
350 Sunset Drive
Grenada, MS 38901
Mailing address
3329 Attala Road 2247
Kosciusko, MS 39090
Phone (662) 633-2032
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20180327000139 | MS | Practitioner - Nurse Practitioner | 2567724859 | 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
- Ms State Department of Health
Practice addresses (Care Compare)
570 E Woodrow Wilson Ave
Jackson, MS 39216-4538
Phone (601) 576-7345
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ms State Department of Health | Current | Accepting new patients | |
| Mississippi State Department of Health | Current | Accepting new patients | |
| Family Health Care Clinic, Inc. | Current | Accepting new patients | |
| Family Health Care Clinic, Inc. | Current | Accepting new patients | |
| Ms State Dept of Health | Current | Accepting new patients | |
| Quick Care Clinic LLC | Current | Accepting new patients | |
| Family Health Care Clinic, Inc | Current | Accepting new patients | |
| State of Mississippi - University of Mississippi Medical Center | Current | Accepting new patients | |
| C and K Pharmacy | Past | Accepting new patients |
Locations
290 Highway 51 N
Brookhaven, MS 39601
Phone (601) 823-1710
1401 River Rd
Greenwood, MS 38930
Phone (662) 459-2603
350 Sunset Dr
Grenada, MS 38901
Phone (662) 307-2221
570 E Woodrow Wilson Ave
Jackson, MS 39216
Phone (601) 576-7345
4635 Highway 80 E
Pearl, MS 39208
Phone (601) 933-2500
123 N Front St
Winona, MS 38967
Phone (662) 283-1801
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 and National Provider Directory roles.
-
- Federally Qualified Health Center (FQHC)
- Pearl, MS
- NPI 1043236326
MS
-
- General Acute Care Hospital
- Greenwood, MS
- NPI 1699714717
MS
-
- Clinical Medical Laboratory
- Jackson, MS
- NPI 1255479630
-
- Long Term Care Pharmacy
- Jackson, MS
- NPI 1376606582
-
- Federally Qualified Health Center (FQHC)
- Taylorsville, MS
- NPI 1710110374
-
- Federally Qualified Health Center (FQHC)
- Flowood, MS
- NPI 1689440133
-
- Community/Retail Pharmacy
- Grenada, MS
- NPI 1083036016
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1518220800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1518220800000",
"number": "1669971180",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3329 ATTALA ROAD 2247",
"city": "KOSCIUSKO",
"state": "MS",
"postal_code": "39090",
"telephone_number": "662-633-2032"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "350 SUNSET DRIVE",
"city": "GRENADA",
"state": "MS",
"postal_code": "38901",
"telephone_number": "662-307-2750"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TAYLOR",
"first_name": "JENNY",
"credential": "FNP-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-02-10",
"last_updated": "2018-02-10",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MS",
"license": "902271",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Grenada, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.