Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. RENA ROSETT JACKSON, RN
Active Sole ProprietorChild & Adolescent Psychiatric Nurse · CLINTON, MS
Registration Details
- NPI Number
- 1770228280
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Apr 29, 2022 (4.0129351242059 yrs)
- Last Updated
- Apr 29, 2022
- License
-
893821 (MS)
- Sole Proprietor
- Yes
Practice Information
- Address
-
100 ELIZABETH DRCLINTON, MS, 390566139Browse MS providers · Browse ZIP 39056
- Phone
- 6014569799
- Primary Specialty
-
Child & Adolescent Psychiatric Nurse
163WP0808X
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.