# JOURNEYCARE MEDICAL, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1245170885
- **Authorized official:** DR. SHANTRICE BERNICE NICHOLS-BATES DNP-C (CEO/MEDICAL DIRECTOR)
- **Authorized official phone:** (769) 366-2659

## Contact information

- **Practice address:** 350 W WOODROW WILSON AVE STE 1010, JACKSON, MS 39213-7681
- **Practice address phone:** (601) 376-8019
- **Mailing address:** 123A HIGHWAY 80 E, PMB\# 140, CLINTON, MS 39056-4738
- **Mailing address phone:** (769) 366-2659

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP2300X | Primary Care Nurse Practitioner | — | NULL | Yes |
| 363LP2300X | Primary Care Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 04/01/2026
- **Last updated:** 04/22/2026