Individual
MRS. MERRICK GREENE JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
3688 VETERANS MEMORIAL DR STE 200, HATTIESBURG, MS 39401-8246
(601) 554-7400
Mailing address
120 NATALIE LN, HATTIESBURG, MS 39402-3080
(601) 938-5197
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
904374
MS
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
09/07/2020
Last updated
10/17/2025
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