Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
UNDRA JACKSON
ActiveUNDRA JACKSON is a School Counselor healthcare provider located in MCCOMB, Mississippi. NPI 1083196851 is currently active in the NPPES registry. Verify at CMS.
School Counselor · MCCOMB, MS
Registration Details
- NPI Number
- 1083196851
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 29, 2018 (7.9712353368989 yrs)
- Last Updated
- Aug 29, 2018
Practice Information
- Address
-
1701 WHITE STMCCOMB, MS, 396482711Browse MS providers · Browse ZIP 39648
- Phone
- 6012494218
- Fax
- 6012494234
- Primary Specialty
-
School Counselor
101YS0200X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.