Individual provider Active NPI

Jennifer Remington, FNP-C

  • Family Nurse Practitioner
  • Brookhaven, MS
National Provider Identifier
1962336958
Registry record updated Jun 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
902950 Issued in MS
Practice address
1024 Big Lane Dr Ste B
Brookhaven, MS 39601-2331
Phone
(601) 823-8000
NPI assigned
Jun 12, 2026
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 12, 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 902950 MS Primary

Addresses

Primary practice location

1024 Big Lane Dr Ste B
Brookhaven, MS 39601-2331

Mailing address

5451 River Thames Rd
Jackson, MS 39211-4136
Phone (601) 319-3405

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1781222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781222400000",
    "number": "1962336958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5451 RIVER THAMES RD",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392114136",
            "telephone_number": "601-319-3405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1024 BIG LANE DR STE B",
            "city": "BROOKHAVEN",
            "state": "MS",
            "postal_code": "396012331",
            "telephone_number": "601-823-8000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REMINGTON",
        "first_name": "JENNIFER",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-06-12",
        "last_updated": "2026-06-12",
        "certification_date": "2026-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "902950",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brookhaven, MS

Sources for this page

Verify at the official NPI Registry.