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Shelby Jackson
NPI 1841822152 · on the registry since 2020
Practice
- Address
- 960 Avent Dr
Grenada, MS 38901 - Phone
- (662) 227-7000
- Organisation at this address
- Kasp Consulting Inc
Grenada Lake Medical Center
Grenada Lake Medical Center
Grenada Lake Medical Center
Grenada Lake Medical CenterInferred from a shared address, not stated in the registry. - Clinicians at this address
- 20
Registry record
- Primary taxonomy
- Family Nurse Practitioner
363LF0000X
- Licence states on file
- MS
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2021-03-05
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