Organization · Type 2 NPI

Kids First Pediatric & Adult Medicine, LLC

Family Health Clinical Nurse Specialist · Hazlehurst, MS

NPI number 1356701783 Active

Practice location

529 Lake St Ste B
Hazlehurst, MS 39083-2226

Call (601) 668-8400 Map

Fax (601) 623-9246

Mailing address

PO Box 495
Jackson, MS 39205-0495

Specialties and licenses

Taxonomy	Code	License
Family Health Clinical Nurse Specialist Primary	364SF0001X	None listed
Pediatric Clinical Nurse Specialist	364SP0200X	R881238 (MS)

Family Health Clinical Nurse Specialist: Definition to come...

NPI record

NPI: 1356701783
Entity type: Organization (Type 2)
Issued: Feb 26, 2016
Last updated: Sep 18, 2021
Status: Active

Other names

<unavail>
Kids First Pediatric Clinic, LLC · former legal business name

Authorized official

Tiffany Rochelle Jackson, FNP
Family Nurse Practitioner
(601) 668-8400

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1356701783

Kids First Pediatric & Adult Medicine, LLC's National Provider Identifier is 1356701783, issued on Feb 26, 2016. The primary taxonomy on file is Family Health Clinical Nurse Specialist (364SF0001X), and the practice location is in Hazlehurst, MS. The record was last updated on Sep 18, 2021.