Search › Mississippi › 363A00000X
Kodi Jackson, PA
NPI 1588373716 · on the registry since 2022
Practice
- Address
- 969 Lakeland Dr
Jackson, MS 39216 - Phone
- (601) 200-3631
- Fax
- (601) 200-0159
- Organisation at this address
- Jpa Pathology, P.A.
Hni Of Mississippi, Inc
Lakeland Radiologists P A
St Dominic Hospital Crna'S
St. Dominic Jackson MemorialInferred from a shared address, not stated in the registry. - Clinicians at this address
- 158
Additional practice sites
- 971 Lakeland Dr Ste 356, Jackson, MS
- 971 Lakeland Dr Ste 657, Jackson, MS
Registry record
- Primary taxonomy
- 363A00000X
363A00000X
- Sex
- Female
- Record last updated
- 2025-11-03
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