Individual provider · Type 1 NPI

Merrick Greene Jackson, NP

Family Nurse Practitioner · Hattiesburg, MS

NPI number 1003420092 Active

Practice location

3688 Veterans Memorial Dr Ste 200
Hattiesburg, MS 39401-8246

Mailing address

120 Natalie Ln
Hattiesburg, MS 39402-3080

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X904374 (MS)
Student in an Organized Health Care Education/Training Program 390200000XNone listed

Family Nurse Practitioner: Definition to come...

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About NPI 1003420092

Merrick Greene Jackson, NP's National Provider Identifier is 1003420092, issued on Sep 7, 2020. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Hattiesburg, MS. The record was last updated on Oct 17, 2025.