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Jacquenett Jackson
NPI 1376727388 · on the registry since 2007 · sole proprietor
Practice
- Address
- 114 Second Street
Shubuta, MS 39360 - Phone
- (601) 687-1128
- Fax
- (601) 687-5497
- Organisation at this address
- The Magnolia Center
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- Adult Care Home Facility
311ZA0620X
- Sex
- Female
- Record last updated
- 2007-12-27
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Mississippi