Individual
NATOSHA JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
140 PETER MCAFEE DR, BRANDON, MS 39042-9689
(601) 608-8674
Mailing address
140 PETER MCAFEE DR, BRANDON, MS 39042-9689
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
325980
MS
Other
Enumeration date
03/31/2026
Last updated
03/31/2026
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