Jacksonbracey Health Care

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

Legal business name

JACKSONBRACEY HEALTH CARE

Practice address

4490 US-80
Pearl, MS 39208

Phone

(601) 383-1977

NPI assigned

Apr 3, 2019

Organization subpart

No

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

Authorized official

Name

Kristen Liles

Title

Office Staff

Phone

(601) 937-5415

Specialties & licenses 1

Addresses

Electronic endpoints 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Barbara L Tapps, FNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Pearl, MS
  • NPI 1316158900

  Family

  NPD (past)

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

{
    "created_epoch": "1554249600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1554249600000",
    "number": "1740742329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4490 HIGHWAY 80 E",
            "city": "PEARL",
            "state": "MS",
            "postal_code": "392084213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4490 US-80",
            "city": "PEARL",
            "state": "MS",
            "postal_code": "39208",
            "telephone_number": "601-383-1977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACKSONBRACEY HEALTH CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-03",
        "last_updated": "2019-04-03",
        "status": "A",
        "authorized_official_last_name": "LILES",
        "authorized_official_first_name": "KRISTEN",
        "authorized_official_title_or_position": "OFFICE STAFF",
        "authorized_official_telephone_number": "601-937-5415"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "https://nppes.cms.hhs.gov/?forward=static.npistart#/otheridentifiers",
            "affiliation": "N",
            "address_1": "4490 US-80",
            "city": "Pearl",
            "state": "MS",
            "country_code": "US",
            "postal_code": "39208",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Infusion Partners, LLC
• Robert W Inzer, M.D.
• Nashamba Jackson-Bracey, FNP-C
• Candace Jackson
• Tiffany Jackson, FNP-C
• Jessica Johnson, CPHT
• Joyce M Johnson, MN, RN, CFNP
• Kurt Darwin Johnson, MD
• Teleshia Danielle Johnson, DMD
• Joseph Joseph Joseph, O.D.

• Family Nurse Practitioner in Pearl, MS
• Providers in Pearl, MS by specialty
• Family Nurse Practitioner in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2019; 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.