IndividualActive
Addison Passman
NPI 1861255614 · Family Nurse Practitioner · Jackson, MS
Provider details
- NPI number
- 1861255614
- Entity type
- Individual
- Primary specialty
- Family Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 907046 (MS)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Nursing Service Providers
Practice location
1428 Highland Park Dr
Jackson, MS 39211-5968
Phone: (601) 497-9190
Approximate (ZIP-level) locationGet directions
Mailing address
1428 Highland Park Dr
Jackson, MS 39211-5968
Registry dates
- Enumerated
- 2024-02-05
- Last updated
- 2025-12-30
- Certified
- 2025-12-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.