Organization
JOURNEYCARE MEDICAL, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHANTRICE BERNICE NICHOLS-BATES DNP-C (CEO/MEDICAL DIRECTOR)
(769) 366-2659
Entity
Organization
Contact information
Practice address
350 W WOODROW WILSON AVE STE 1010, JACKSON, MS 39213-7681
(601) 376-8019
Mailing address
123A HIGHWAY 80 E, PMB# 140, CLINTON, MS 39056-4738
(769) 366-2659
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
—
—
Other
Enumeration date
04/01/2026
Last updated
04/22/2026
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