KIDNEY FOCUSED CARE LLC NPI 1003418997

NPI Information

  • NPI: 1003418997
  • Provider Name: KIDNEY FOCUSED CARE, LLC
  • Classification: Nurse Practitioner - 363LP2300X
  • Specialization: Primary Care
  • Entity Type: Organization
  • Address: 2633 RIDGEWOOD RD STE 105
    JACKSON, MS
    ZIP 39216
  • Phone: (601) 665-4429

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NPI Details

KIDNEY FOCUSED CARE, LLC is a primary care nurse practitioner in Jackson, MS. KIDNEY FOCUSED CARE, LLC NPI is 1003418997. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2633 RIDGEWOOD RD STE 105
JACKSON, MS
ZIP 39216-962
Phone: (601) 665-4429
Fax: (601) 665-4429

The provider's authorized official is Jacqueline Diane Boyd .
The authorized official title is Owner and has the following contact phone number (601) 665-4429.

The enumeration date for this NPI number is 11/15/2020 and was last updated on 4/22/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363L00000XNurse PractitionerNo
2363LP2300XNurse PractitionerPrimary CareYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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