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Mrs. Koscher Denee Jackson, NP
Psychiatric/Mental Health Nurse Practitioner in Brandon, Mississippi
NPI 1417350182

Koscher Denee Jackson is a Psychiatric/Mental Health Nurse Practitioner based in Brandon, MS and is specialized in Psychiatric/Mental Health. Koscher Denee Jackson practices in Brandon, MS and has the professional credentials of NP. The NPI Number for Koscher Denee Jackson is 1417350182 and holds a License No. R865579 (Mississippi).

The current practice location address for Koscher Denee Jackson is 613 Marquette Rd, Brandon, MS and can be reached out via phone at 601-824-0342 and via fax at 601-824-0349.

Location: 613 Marquette Rd, Brandon, MS, 39043-0088
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Provider Profile Details
NPI Number
1417350182
Provider Name
Koscher Denee Jackson
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
613 Marquette Rd, Brandon, MS, 39043-0088
Phone Number
601-824-0342
Fax Number
601-824-0349
Provider Enumeration Date
10/08/2014
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
R865579 05 MS
institution
Provider Business Practice Location Address Details
Address
613 Marquette Rd
City
State
Zip
39042-3038
Phone Number
601-824-0342
Fax Number
601-824-0349
person
Provider Business Mailing Address Details
Address
613 Marquette Rd
City
State
Zip
39042-3038
Phone Number
601-824-0342
Fax Number
601-824-0349
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
R865579 (Mississippi)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
License No.
R865579 (Mississippi)
Definition
Definition to come...
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