IndividualActive
John Sistrunk, M.D.
NPI 1164430419 · Endocrinology, Diabetes & Metabolism Physician · Jackson, MS
Provider details
- NPI number
- 1164430419
- Entity type
- Individual
- Primary specialty
- Endocrinology, Diabetes & Metabolism PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- Yes
- License
- 15819 (MS)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
971 Lakeland Dr
Suite 353
Jackson, MS 39216-4643
Phone: (601) 949-6990
Fax: (601) 949-6105
Approximate (ZIP-level) locationGet directions
Mailing address
971 Lakeland Dr
Jackson, MS 39216-4643
Registry dates
- Enumerated
- 2006-08-03
- Last updated
- 2010-10-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.