Individual provider · Type 1 NPI

Kimyuana Jackson Dorris, PMHNP, AGNP-C

Adult Medicine Physician · Flowood, MS

NPI number 1184222374 Active

Practice location

215 Katherine Dr Ste A
Flowood, MS 39232-9588

Call (601) 665-4162 Map

Fax (888) 398-1151

Mailing address

20 Hobo Fork Rd
Natchez, MS 39120-9025

Other practice locations

  • 20 Hobo Fork Rd, Natchez, MS 39120-9025 · (601) 304-2558
  • 590 Springridge Rd, Clinton, MS 39056-5606 · (190) 456-3568

Specialties and licenses

TaxonomyCodeLicense
Adult Medicine Physician Primary 207QA0505X904207 (MS)

Adult Medicine Physician: The NUCC recommends this code not be used. Choose a more appropriate code.

12 other providers at this address

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About NPI 1184222374

Kimyuana Jackson Dorris, PMHNP, AGNP-C's National Provider Identifier is 1184222374, issued on Oct 11, 2020. The primary taxonomy on file is Adult Medicine Physician (207QA0505X), and the practice location is in Flowood, MS. The record was last updated on Aug 6, 2026.