person
Randall Jackson, CFNP
Acute Care Nurse Practitioner in Mccomb, Mississippi
NPI 1144614165

Randall Jackson is an Acute Care Nurse Practitioner based in Mccomb, MS and is specialized in Acute Care. Randall Jackson practices in Mccomb, MS and has the professional credentials of CFNP. The NPI Number for Randall Jackson is 1144614165 and holds a License No. R878547 (Mississippi).

The current practice location address for Randall Jackson is 215 Marion Ave, Mccomb, MS and can be reached out via phone at 601-249-5500 and via fax at 601-249-1173.

Location: 215 Marion Ave, Mccomb, MS, 39649-0490
person
Provider Profile Details
NPI Number
1144614165
Provider Name
Randall Jackson
Credential
CFNP
Provider Entity Type
Individual
Gender
Male
Address
215 Marion Ave, Mccomb, MS, 39649-0490
Phone Number
601-249-5500
Fax Number
601-249-1173
Provider Enumeration Date
03/27/2015
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
05435530 05 MS
institution
Provider Business Practice Location Address Details
Address
215 Marion Ave
City
State
Zip
39648-2705
Phone Number
601-249-5500
Fax Number
601-249-1173
person
Provider Business Mailing Address Details
Address
215 Marion Ave
City
State
Zip
39648-2705
Phone Number
601-249-5500
Fax Number
601-249-1173
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Acute Care
Taxonomy
License No.
878547 (Mississippi)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
R878547 (Mississippi)
Definition
Definition to come...
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