Individual
KIRSTEN LEE JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGACNP-BC
Contact information
Practice address
5001 HARDY ST, HATTIESBURG, MS 39402-1308
(601) 261-5700
(601) 261-5777
Mailing address
5001 HARDY ST, HATTIESBURG, MS 39402-1308
(601) 261-5700
(601) 261-5777
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
908210
MS
Other
Enumeration date
03/06/2026
Last updated
05/05/2026
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