Jennifer Kisner, APRN is a
Nurse Practitioner - Family physician based in Jackson, Mississippi. Jennifer Kisner is licensed to practice in Mississippi (license number 904794) and her current practice location is 4880 I 55 Frontage Rd N, Jackson, Mississippi. She can be reached at her office (for appointments etc.) via phone at
(601) 487-9199.
NPI number for Jennifer Kisner is 1588334924 and her current mailing address is 4880 I 55 Frontage Rd N, Jackson, Mississippi. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1588334924.
Physician's Profile
| Full Name | Jennifer Kisner |
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| Gender | Female |
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| Speciality | Nurse Practitioner - Family |
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| Location | 4880 I 55 Frontage Rd N, Jackson, Mississippi |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1588334924
- Provider Enumeration Date: 09/16/2021
- Last Update Date: 03/13/2022
Medical Identifiers
Medical identifiers for Jennifer Kisner such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1588334924 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 207Q00000X | Family Medicine | 904794 (Mississippi) | Secondary |
| 363L00000X | Nurse Practitioner | 904794 (Mississippi) | Secondary |
| 363LA2100X | Nurse Practitioner - Acute Care | 904794 (Mississippi) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 904794 (Mississippi) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jennifer Kisner is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Jennifer Kisner, APRN 4880 I 55 Frontage Rd N, Jackson, MS 39211-5469 Ph: (601) 487-9199 | Jennifer Kisner, APRN 4880 I 55 Frontage Rd N, Jackson, MS 39211-5469 Ph: (601) 487-9199 |
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