Individual
ESSIE JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
184 ARTHUR B JOHNSON LN, COLUMBIA, MS 39429-8203
(601) 441-3975
Mailing address
184 ARTHUR B JOHNSON LN, COLUMBIA, MS 39429-8203
(601) 441-3975
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
—
MS
376J00000X
Homemaker
Primary
—
—
Other
Enumeration date
10/17/2021
Last updated
10/17/2021
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