Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KODI LONG JACKSON, PA
ActiveKODI LONG JACKSON, PA is a Physician Assistant healthcare provider located in JACKSON, Mississippi. NPI 1588373716 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · JACKSON, MS
Registration Details
- NPI Number
- 1588373716
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Nov 16, 2022 (3.7156545264969 yrs)
- Last Updated
- Nov 3, 2025
Practice Information
- Address
-
969 LAKELAND DRJACKSON, MS, 392164606Browse MS providers · Browse ZIP 39216
- Phone
- 6012003631
- Fax
- 6012000159
- Primary Specialty
-
Physician Assistant
363A00000X
Other Physician Assistant Providers in JACKSON, MS
| Name | Credential | NPI |
|---|---|---|
| ERIC T LENOIR | PA | 1386639359 |
| RONALD ELLER | PA | 1518992833 |
| RENNIE MILLS | PHYSICIAN ASSISTANT | 1942307400 |
| MR. RANDOLPH HAYES HENDERSON | PHYSICIAN ASSISTANT | 1366530545 |
| THERESA LANE FISHER | P.A. | 1780898577 |
| LINDSAY J MCALPIN | PA | 1295173508 |
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.