MORE CONVENIENT CARE CENTER LLC NPI 1053646190

NPI Information

  • NPI: 1053646190
  • Provider Name: MORE CONVENIENT CARE CENTER LLC
  • Classification: Clinic/Center - 261QP2300X
  • Specialization: Primary Care
  • Entity Type: Organization
  • Doing Business As: MORE HEALTH CARE LLC
  • Address: 4612 MEDGAR EVERS BLVD
    SUITE 10
    JACKSON, MS
    ZIP 39213
  • Phone: (601) 321-9104

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NPI Details

MORE CONVENIENT CARE CENTER LLC is a primary care clinic center in Jackson, MS. MORE CONVENIENT CARE CENTER LLC NPI is 1053646190. The provider is registered as an organization entity type.
The provider Is Doing Business As More Health Care Llc.

The provider's business location address is:

4612 MEDGAR EVERS BLVD
SUITE 10
JACKSON, MS
ZIP 39213-205
Phone: (601) 321-9104
Fax: (601) 321-9138

The provider's authorized official is Mary Lynn Hilliard .
The authorized official title is Family Nurse Practitioner and has the following contact phone number (601) 209-8432.

The enumeration date for this NPI number is 10/7/2009 and was last updated on 11/18/2011.

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
1261QP2300XClinic/CenterPrimary CareR656046MISSISSIPPIYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1S42164MEDICARE UPINMISSISSIPPI
2500001874OTHERMISSISSIPPIMEDICARE
300115980MEDICAIDMISSISSIPPI

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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