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Search › Mississippi › 104100000X

Tequilla Jackson, BA

NPI 1720706799 · on the registry since 2022

Practice

Address
2890 S Lamar Blvd
Oxford, MS 38655
Phone
(662) 234-7521
Fax
(662) 236-3071
Organisation at this address
Mayo Eye Center, Inc
North Mississippi Commission On Mental Illness/Mental Retardation
Inferred from a shared address, not stated in the registry.
Clinicians at this address
2

Registry record

Primary taxonomy
104100000X
104100000X
Sex
Female
Record last updated
2022-08-16

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