Individual provider Active NPI

Jennifer P Lafferty, FNP

  • Family Nurse Practitioner
  • Marion, MS
National Provider Identifier
1710130943
Registry record updated May 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R853017 Issued in MS
Practice address
5334 Dale Dr
Marion, MS 39342-9604
Phone
(601) 703-0130
Fax
(601) 703-0133
NPI assigned
Oct 31, 2008
Last updated
May 27, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 27, 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 R853017 MS Primary

Addresses

Primary practice location

5334 Dale Dr
Marion, MS 39342-9604

Mailing address

1314 19TH Ave
Meridian, MS 39301-4116
Phone (601) 703-4282

Other practice location 1

2124 14th St
Meridian, MS 39301-4040
Phone (601) 553-6000

Other practice location 2

1100 17th Ave
Meridian, MS 39301-4219
Phone (601) 703-1465

Other practice location 3

2024 15th St Fl 2
Meridian, MS 39301-4130
Phone (601) 553-2000

Other practice location 4

1102 Constitution Ave
Meridian, MS 39301-4001
Phone (601) 703-5000

Other identifiers 1

IdentifierTypeStateIssuer
07206011MedicaidMS

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
I20081222000654 MS Practitioner - Nurse Practitioner 0648332825 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Anderson Physician Alliance IncGroup PAC ID 3274727318, 69 clinicians
Kemper Cah, Inc.Group PAC ID 5991985012, 28 clinicians

Practice addresses (Care Compare)

2024 15TH St
FL 2
Meridian, MS 39301-4130
Phone (601) 553-2000

5334 Dale Dr
Marion, MS 39342-9604
Phone (601) 703-0130

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Kemper Cah, Inc CurrentSince Sep 7, 2013 Accepting new patients
Kemper Cah, Inc. CurrentSince Sep 7, 2013 Accepting new patients
Meridian Medical Associates, PA PastSince Apr 16, 2026 Accepting new patients
Anderson Physician Alliance, Inc. PastSince Apr 16, 2026 Accepting new patients

Locations

14365 Highway 16 W
De Kalb, MS 39328
Phone (769) 486-1000

5334 Dale Dr
Marion, MS 39342
Phone (601) 703-0130

1314 19th Ave
Meridian, MS 39301
Phone (601) 483-0011

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 6

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": "1225411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779840000000",
    "number": "1710130943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1314 19TH AVE",
            "city": "MERIDIAN",
            "state": "MS",
            "postal_code": "393014116",
            "telephone_number": "601-703-4282",
            "fax_number": "601-703-4597"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5334 DALE DR",
            "city": "MARION",
            "state": "MS",
            "postal_code": "393429604",
            "telephone_number": "601-703-0130",
            "fax_number": "601-703-0133"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2124 14th St",
            "address_purpose": "LOCATION",
            "city": "Meridian",
            "state": "MS",
            "postal_code": "393014040",
            "country_code": "US",
            "telephone_number": "601-553-6000",
            "fax_number": "601-703-0124",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1100 17th Ave",
            "address_purpose": "LOCATION",
            "city": "Meridian",
            "state": "MS",
            "postal_code": "393014219",
            "country_code": "US",
            "telephone_number": "601-703-1465",
            "fax_number": "601-703-1467",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2024 15th St Fl 2",
            "address_purpose": "LOCATION",
            "city": "Meridian",
            "state": "MS",
            "postal_code": "393014130",
            "country_code": "US",
            "telephone_number": "601-553-2000",
            "fax_number": "601-553-6856",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1102 Constitution Ave",
            "address_purpose": "LOCATION",
            "city": "Meridian",
            "state": "MS",
            "postal_code": "393014001",
            "country_code": "US",
            "telephone_number": "601-703-5000",
            "fax_number": "601-703-0124",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LAFFERTY",
        "first_name": "JENNIFER",
        "middle_name": "P",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-10-31",
        "last_updated": "2026-05-27",
        "certification_date": "2026-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "R853017",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "07206011",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Marion, MS

Sources for this page

Verify at the official NPI Registry.