Individual provider · Type 1 NPI

Catherine Grace Jackson

Student in an Organized Health Care Education/Training Program · Jackson, MS

NPI number 1053254516 Active

Practice location

1225 North States Street
Jackson, MS 39202

Mailing address

1190 N State St
Jackson, MS 39202-2413

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1053254516

Catherine Grace Jackson's National Provider Identifier is 1053254516, issued on Apr 10, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Jackson, MS. The record was last updated on Apr 10, 2026.