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Search › Mississippi › 225200000X

Jermie Jackson, LPTA

NPI 1730056979 · on the registry since 2025 · sole proprietor

Practice

Address
1114 Commonwealth Blvd
Tupelo, MS 38804
Phone
(662) 840-6366
Organisation at this address
Memphis Vamc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
4

Registry record

Primary taxonomy
225200000X
225200000X
Licence states on file
MS
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2025-10-22

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