Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
GREGORY L JACKSON, MSW
Active Sole ProprietorGREGORY L JACKSON, MSW is a Social Worker healthcare provider located in PRENTISS, Mississippi. NPI 1295194124 is currently active in the NPPES registry. Verify at CMS.
Social Worker · PRENTISS, MS
Registration Details
- NPI Number
- 1295194124
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Feb 20, 2016 (10.45339967877 yrs)
- Last Updated
- Feb 20, 2016
- License
-
002608 (CT)
- Sole Proprietor
- Yes
Practice Information
- Address
-
342 W PROGRESS RDPRENTISS, MS, 394745221Browse MS providers · Browse ZIP 39474
- Phone
- 6015435585
- Primary Specialty
-
Social Worker
104100000X
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.