Individual provider · Type 1 NPI

Valerie Thresa Jackson

Family Nurse Practitioner · Canton, MS

NPI number 1609402304 Active

Practice location

1171 Hart St
Canton, MS 39046-4805

Specialties and licenses

TaxonomyCodeLicense
Hemodialysis Registered Nurse 163WH0500XR865187 (MS)
Family Nurse Practitioner Primary 363LF0000X9049998 (MS)

Family Nurse Practitioner: Definition to come...

13 other providers at this address

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About NPI 1609402304

Valerie Thresa Jackson's National Provider Identifier is 1609402304, issued on Mar 14, 2020. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Canton, MS. The record was last updated on Sep 13, 2022.