Individual provider · Type 1 NPI

Koscher Denee Jackson, NP

Psychiatric/Mental Health Nurse Practitioner · Brandon, MS

NPI number 1417350182 Active

Practice location

613 Marquette Rd
Brandon, MS 39042-3038

Fax (601) 824-0349

Mailing address

PO Box 88
Brandon, MS 39043-0088

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner 363LF0000XR865579 (MS)
Psychiatric/Mental Health Nurse Practitioner Primary 363LP0808XR865579 (MS)

Psychiatric/Mental Health Nurse Practitioner: Definition to come...

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About NPI 1417350182

Koscher Denee Jackson, NP's National Provider Identifier is 1417350182, issued on Oct 8, 2014. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Brandon, MS. The record was last updated on Mar 22, 2021.