Mall Services, LLC
NPI 1063659340 · Family Nurse Practitioner · Jackson, MS
Mall Services, LLC is a Family Nurse Practitioner organization in Jackson, MS (NPI 1063659340).
Provider details
- NPI number
- 1063659340
- Entity type
- Organization
- Primary specialty
- Family Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Christal Rogers, Office Assistant(601) 982-0673
- License
- P320574 (MS)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Other Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- 809 Convenient Care Clinic
Registry dates
- Enumerated
- 2009-01-08
- Last updated
- 2009-01-08
Frequently asked questions
- What is Mall Services, LLC's NPI number?
- Mall Services, LLC's National Provider Identifier (NPI) is 1063659340, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Mall Services, LLC?
- Mall Services, LLC is classified in the NPPES registry as Family Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Mall Services, LLC located?
- Mall Services, LLC's practice location on file with NPPES is 809 N State St, Jackson, MS 39202-2604.
- What is Mall Services, LLC's phone number?
- The practice phone number listed in the NPPES registry for Mall Services, LLC is (601) 982-0673.
- Who is the authorized official for Mall Services, LLC?
- The authorized official listed on Mall Services, LLC's NPPES record is Christal Rogers, Office Assistant. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Mall Services, LLC's NPI active?
- Yes — Mall Services, LLC's NPI (1063659340) is active in the NPPES registry as of the last update on 2009-01-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.