Individual
KARLA JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ACNPC-AG
Contact information
Practice address
3196 HIGHWAY 72 W, CORINTH, MS 38834-9303
(662) 284-9541
Mailing address
PO BOX 634, CORINTH, MS 38835-0634
(662) 416-8827
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
904658
MS
Other
Enumeration date
06/11/2021
Last updated
06/11/2021
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