Individual provider · Type 1 NPI

Kimberly Jordan Tupper

Physician Assistant · Southaven, MS

NPI number 1437785482 Active

Practice location

391 Southcrest Cir Ste 200
Southaven, MS 38671-6729

Call (901) 271-1000 Map

Fax (901) 922-6718

Mailing address

8060 Wolf River Blvd
Germantown, TN 38138-1727

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000XPA00741 (MS)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1437785482

Kimberly Jordan Tupper's National Provider Identifier is 1437785482, issued on Mar 20, 2020. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Southaven, MS. The record was last updated on Jan 21, 2026.