Individual provider · Type 1 NPI

Alexis Nicole Jackson, DNP, APRN, FNP-BC

Nurse Practitioner · Southaven, MS

NPI number 1265366579 Active

Practice location

7900 Airways Blvd Bldg C4
Southaven, MS 38671-4114

Call (662) 404-8630 Map

Fax (662) 404-8631

Mailing address

PO Box 649113
Dallas, TX 75264-9113

Other practice locations

1250 E Commerce St, Hernando, MS 38632-2456 · (662) 298-2238

Specialties and licenses

Taxonomy	Code	License
Nurse Practitioner Primary	363L00000X	908482 (MS)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1265366579

Alexis Nicole Jackson, DNP, APRN, FNP-BC's National Provider Identifier is 1265366579, issued on Jun 11, 2026. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Southaven, MS. The record was last updated on Sep 30, 2026.