Individual provider · Type 1 NPI
Cody James Lyons, ACNPC-AG
Acute Care Nurse Practitioner · Jackson, MS
NPI number
1053243352
Active
Practice location
2500 N State St
Jackson, MS 39216-4500
Mailing address
613 Westhill Rd
Brandon, MS 39042-6045
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Acute Care Nurse Practitioner Primary | 363LA2100X | 908452 (MS) |
Acute Care Nurse Practitioner: Definition to come...
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About NPI 1053243352
Cody James Lyons, ACNPC-AG's National Provider Identifier is 1053243352, issued on Jun 1, 2026. The primary taxonomy on file is Acute Care Nurse Practitioner (363LA2100X), and the practice location is in Jackson, MS. The record was last updated on Jun 1, 2026.