MEDICARE: REGAN LAYNE TEMPLE FNP-C

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363L00000X	Nurse Practitioner	905494	MS

General Provider Information

NPI Number	:	1912635582
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	REGAN LAYNE TEMPLE FNP-C

Provider Business Mailing Address
First Line	:	1190 N STATE ST STE 202
Second Line	:
City	:	JACKSON
State	:	MS
Zip	:	39202-2463
Country	:	US
Telephone Number	:	601-968-0894
Fax Number	:

Provider Business Practice Location Address
First Line	:	1190 N STATE ST STE 202
Second Line	:
City	:	JACKSON
State	:	MS
Zip	:	39202-2463
Country	:	US
Telephone Number	:	601-968-0894
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/11/2022
Last Update Date	:	08/11/2022

Similar Medicare Providers

1831762442 — VIRGINIA POOLE GENTRY
Practice Location Address:

1190 N STATE ST STE 202
JACKSON, MS
39202-2463

Practice Phone: 601-968-0896
Practice Fax:

1467452722 — ROOPAL M. KARIA-PATEL MD
Practice Location Address:

27 S COOKS BRIDGE RD STE 2-20
JACKSON, NJ
08527-2463

Practice Phone: 732-987-5705
Practice Fax: 732-987-5706

1972132462 — NIKITA PATEL MD
Practice Location Address:

27 S COOKS BRIDGE RD STE 2-7
JACKSON, NJ
08527-2463

Practice Phone: 732-295-6543
Practice Fax: 732-295-6204

1114763323 — RACHEL KAYLA JACOBOVITS FNP
Practice Location Address:

27 S COOKS BRIDGE RD STE 2-14
JACKSON, NJ
08527-2463

Practice Phone: 732-876-3376
Practice Fax: 732-876-0276

1699151464 — JESSICA MCDOWELL DAVIS FNP-C
Practice Location Address:

1225 N STATE ST
JACKSON, MS
39202-2064

Practice Phone: 601-988-5281
Practice Fax: 601-974-6241

1013919216 — DR. RICHARD B FRIEDMAN MD
Practice Location Address:

1225 N STATE ST
JACKSON, MS
39202-2064

Practice Phone: 601-968-1416
Practice Fax: 601-968-1218

Directions to “ REGAN LAYNE TEMPLE FNP-C” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.