IndividualActive
Cody Lyons, ACNPC-AG
NPI 1053243352 · Acute Care Nurse Practitioner · Jackson, MS
Provider details
- NPI number
- 1053243352
- Entity type
- Individual
- Primary specialty
- Acute Care Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- ACNPC-AG
- Sex
- Male
- Sole proprietor
- No
- License
- 908452 (MS)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
2500 N State St
Jackson, MS 39216-4500
Phone: (601) 984-1000
Approximate (ZIP-level) locationGet directions
Mailing address
613 Westhill Rd
Brandon, MS 39042-6045
Registry dates
- Enumerated
- 2026-06-01
- Last updated
- 2026-06-01
- Certified
- 2026-06-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.