Individual provider Active NPI

Jessalynn Denton Thurman, FNP

  • Family Nurse Practitioner
  • Florence, MS
National Provider Identifier
1821754631
Registry record updated Jun 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
904991 Issued in MS
Practice address
125 Earl Clark Dr
Florence, MS 39073-6605
Phone
(601) 891-8657
Fax
(949) 561-5551
NPI assigned
Nov 16, 2021
Last updated
Jun 2, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 2, 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 904991 MS Primary

Addresses

Primary practice location

125 Earl Clark Dr
Florence, MS 39073-6605

Mailing address

125 Earl Clark Dr
Florence, MS 39073-6605
Phone (601) 891-8657

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
I20220110001070 MS Practitioner - Nurse Practitioner 9537551270 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southern Diabetes Care PLLCGroup PAC ID 3577969138, 6 clinicians
Revitalize Hydration Therapy LLCGroup PAC ID 5193154128, 8 clinicians

Practice addresses (Care Compare)

125 Earl Clark Dr
Florence, MS 39073-9411
Phone (601) 891-8657

885 Liberty Rd
Suite 300
Flowood, MS 39232-9006
Phone (601) 213-0069

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
904991MSMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Foundation of Central Ms CurrentSince Nov 15, 2021 Accepting new patients
Revitalize Hydration Therapy, LLC CurrentSince Apr 1, 2023 Accepting new patients
Medical Foundation of Central Mississippi, Inc. CurrentSince Nov 15, 2021 Accepting new patients
Southern Diabetes Care, PLLC Family PastSince Sep 1, 2021 Accepting new patients

Locations

885 Liberty Rd
Flowood, MS 39232

885 Liberty Rd
Ste 300
Flowood, MS 39232
Phone (601) 213-0069

1225 N State St
Jackson, MS 39202
Phone (601) 292-4261

401 Baptist Dr
Ste 104
Madison, MS 39110
Phone (601) 605-2383

Interoperability endpoints

  • Direct secure messaging: jthurman488706@direct.bmhcc.org

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 1

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": "1637020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780358400000",
    "number": "1821754631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 EARL CLARK DR",
            "city": "FLORENCE",
            "state": "MS",
            "postal_code": "390736605",
            "telephone_number": "601-891-8657"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 EARL CLARK DR",
            "city": "FLORENCE",
            "state": "MS",
            "postal_code": "390736605",
            "telephone_number": "601-891-8657",
            "fax_number": "949-561-5551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THURMAN",
        "first_name": "JESSALYNN",
        "middle_name": "DENTON",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-11-16",
        "last_updated": "2026-06-02",
        "certification_date": "2026-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "904991",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Florence, MS

Sources for this page

Verify at the official NPI Registry.