Jordyn Mitchell Holston

Primary specialty

PharmacistTaxonomy code 183500000X

License

E-100204 Issued in MS

Practice address

130 Highland Pkwy
Picayune, MS 39466-5574

Phone

(601) 358-9697

NPI assigned

Sep 8, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1694131200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694131200000",
    "number": "1962289504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25968 HIGHWAY 43",
            "city": "PICAYUNE",
            "state": "MS",
            "postal_code": "394667591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 HIGHLAND PKWY",
            "city": "PICAYUNE",
            "state": "MS",
            "postal_code": "394665574",
            "telephone_number": "601-358-9697"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLSTON",
        "first_name": "JORDYN",
        "middle_name": "MITCHELL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-09-08",
        "last_updated": "2023-09-08",
        "certification_date": "2023-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MS",
            "license": "E-100204",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Highland Community Clinic Network
• Highland Community Hospital Physicians
• Highland Emergency Physicians, PA
• Highland Health MD, PLLC
• Highland Pediatrics PLLC
• Independent Jobs 1, LLC
• Innovative Health Solutions LLC
• Randall Charles Jacob
• James J. Blount, III, MD
• James M Riser MD PA

• Pharmacist in Picayune, MS
• Providers in Picayune, MS by specialty
• Pharmacist in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2023; 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.