Individual provider · Type 1 NPI

Carley Danielle Maddox

Nurse Practitioner · Jackson, MS

NPI number 1346164993 Active

Practice location

969 Lakeland Dr
Jackson, MS 39216-4699

Fax (601) 200-7375

Mailing address

5959 S Sherwood Forest Blvd
Baton Rouge, LA 70816-6038

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X908656 (MS)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1346164993

Carley Danielle Maddox's National Provider Identifier is 1346164993, issued on Aug 6, 2026. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Jackson, MS. The record was last updated on Oct 5, 2026.