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Natasha Jackson

NPI 1952641805 · on the registry since 2013 · sole proprietor

Practice

Address
180 Sheppard Rd Ste 115
Jackson, MS 39206
Phone
(601) 813-6141

Additional practice sites

  • 3450 Highway 80 W, Jackson, MS

Registry record

Primary taxonomy
101YM0800X
101YM0800X
Also registered as
1041C0700X
Licence states on file
MS
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2018-03-17

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