Individual
JAMES MICHAEL JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
2809 DENNY AVE, PASCAGOULA, MS 39581-5301
(228) 872-1951
(228) 875-9998
Mailing address
2101 HIGHWAY 90, GAUTIER, MS 39553-5340
(228) 872-1951
(228) 875-9998
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
802231
MS
363LA2100X
Acute Care Nurse Practitioner
Primary
R802231
MS
363LC0200X
Critical Care Medicine Nurse Practitioner
802231
MS
Other
Enumeration date
08/11/2015
Last updated
04/16/2026
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