Individual
CATHERINE GRACE JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1225 NORTH STATES STREET, JACKSON, MS 39202
(601) 968-1000
Mailing address
1190 N STATE ST, JACKSON, MS 39202-2413
(769) 268-6770
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
MS
Other
Enumeration date
04/10/2026
Last updated
04/10/2026
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