Individual
LEIGH JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
7601 SOUTHCREST PKWY, SOUTHAVEN, MS 38671-4739
(662) 772-4000
Mailing address
1431 CENTERPOINT BLVD STE 100, KNOXVILLE, TN 37932-1983
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
125071063
IL
207P00000X
Emergency Medicine Physician
Primary
27801
MS
Other
Enumeration date
06/20/2017
Last updated
07/01/2020
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