person
Gloria J. Jackson, FNP
Family Nurse Practitioner in Collinsville, Mississippi
NPI 1245213354

Gloria J. Jackson is a Family Nurse Practitioner based in Meridian, MS and is specialized in Family. Gloria J. Jackson practices in Collinsville, MS and has the professional credentials of FNP. The NPI Number for Gloria J. Jackson is 1245213354 and holds a License No. R715654 (Mississippi).

The current practice location address for Gloria J. Jackson is 9097 Collinsville Rd, Collinsville, MS and can be reached out via phone at 601-626-8874 and via fax at 601-626-8592.

Location: 9097 Collinsville Rd, Collinsville, MS, 39302-2106
person
Provider Profile Details
NPI Number
1245213354
Provider Name
Gloria J. Jackson
Credential
FNP
Provider Entity Type
Individual
Gender
Female
Address
9097 Collinsville Rd, Collinsville, MS, 39302-2106
Phone Number
601-626-8874
Fax Number
601-626-8592
Provider Enumeration Date
11/22/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
730-15594 01 BLUE CROSS OF AL
09573377 05 MS
891010060 05 AL
institution
Provider Business Practice Location Address Details
Address
9097 Collinsville Rd
City
State
Zip
39325-9779
Phone Number
601-626-8874
Fax Number
601-626-8592
person
Provider Business Mailing Address Details
Address
9097 Collinsville Rd
City
State
Zip
39325-9779
Phone Number
601-626-8874
Fax Number
601-626-8592
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
R715654 (Mississippi)
Definition
Definition to come...
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