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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MISS MODUPE HARRIET AJISAFE, M.D

Active

MISS MODUPE HARRIET AJISAFE, M.D is a Family Medicine healthcare provider located in JACKSON, Mississippi. NPI 1306632344 is currently active in the NPPES registry. Verify at CMS.

Family Medicine · JACKSON, MS

Registration Details

NPI Number
1306632344
Provider Type
Individual
Gender
Female
NPI Issued
Apr 16, 2025 (1.294551037312 yrs)
Last Updated
Nov 5, 2025
License
T5940 (MS)

Practice Information

Address
DEPARTMENT OF FAMILY MEDICINE
2500 N STATE ST
JACKSON, MS, 39216
Browse MS providers · Browse ZIP 39216
Phone
6019845426
Primary Specialty
Family Medicine
207Q00000X

Other Family Medicine Providers in JACKSON, MS

Name Credential NPI
JOSEPH SAMUEL HUNTER MD 1467459149
DR. JANET L. RICKS D.O. 1841284478
STEPHEN PAUL EPPERSON MD 1013902725
DR. SAMUEL CHINWUBA OKOYE MD 1851380273
DR. ROBERT L MOORE M.D. 1841281276
DR. TODD A CLAYTON M.D. 1386621936
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.