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Mrs. Merrick Greene Jackson, NP
Family Nurse Practitioner in Laurel, Mississippi
NPI 1003420092

Merrick Greene Jackson is a Family Nurse Practitioner based in Hattiesburg, MS and is specialized in Family. Merrick Greene Jackson practices in Laurel, MS and has the professional credentials of NP. The NPI Number for Merrick Greene Jackson is 1003420092 and holds a License No. (Mississippi).

The current practice location address for Merrick Greene Jackson is 1430 Jefferson St, Laurel, MS and can be reached out via phone at 601-425-2273 and via fax at 601-426-9637.

Location: 1430 Jefferson St, Laurel, MS, 39402-3080
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1003420092
Provider Name
Merrick Greene Jackson
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
1430 Jefferson St, Laurel, MS, 39402-3080
Phone Number
601-425-2273
Fax Number
601-426-9637
Provider Enumeration Date
09/07/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1430 Jefferson St
City
Laurel
State
Mississippi
Zip
39440-4243
Phone Number
601-425-2273
Fax Number
601-426-9637
person
Provider Business Mailing Address Details
Address
1430 Jefferson St
City
Laurel
State
Mississippi
Zip
39440-4243
Phone Number
601-425-2273
Fax Number
601-426-9637
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
904374 (Mississippi)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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