Individual
PEYTON JERNIGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1554 S COLORADO ST, GREENVILLE, MS 38703-7219
(662) 334-8557
Mailing address
1554 S COLORADO ST, GREENVILLE, MS 38703-7219
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
908225
MS
363LF0000X
Family Nurse Practitioner
Primary
908225
MS
Other
Enumeration date
03/02/2026
Last updated
04/02/2026
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