Individual
JOSALIN JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R N
Contact information
Practice address
805 HIGHWAY 589, PURVIS, MS 39475-4194
(601) 794-6543
Mailing address
PO BOX 18679, HATTIESBURG, MS 39404-8679
(601) 705-1901
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
326794
MS
Other
Enumeration date
11/13/2024
Last updated
11/13/2024
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