Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. JACQUENETT JACKSON
Active Sole ProprietorMRS. JACQUENETT JACKSON is a Assisted Living Facility healthcare provider located in SHUBUTA, Mississippi. NPI 1376727388 is currently active in the NPPES registry. Verify at CMS.
Assisted Living Facility · SHUBUTA, MS
Registration Details
- NPI Number
- 1376727388
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Dec 27, 2007 (18.60972162192 yrs)
- Last Updated
- Dec 27, 2007
- Sole Proprietor
- Yes
Practice Information
- Address
-
114 SECOND STREETSHUBUTA, MS, 39360Browse MS providers · Browse ZIP 39360
- Phone
- 6016871128
- Fax
- 6016875497
- Primary Specialty
-
Assisted Living Facility
311ZA0620X
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.