Individual provider · Type 1 NPI

Amy Jackson

Registered Nurse · Diberville, MS

NPI number 1205710456 Active

Practice location

17083 Palm Ridge Dr
Diberville, MS 39540-8819

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse Primary 163W00000X927917 (MS)

Registered Nurse: (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient…

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About NPI 1205710456

Amy Jackson's National Provider Identifier is 1205710456, issued on Aug 1, 2025. The primary taxonomy on file is Registered Nurse (163W00000X), and the practice location is in Diberville, MS. The record was last updated on Aug 1, 2025.