Individual provider · Type 1 NPI

Robin Jackson

Acute Care Nurse Practitioner · Tupelo, MS

NPI number 1669922670 Active

Practice location

830 S Gloster St, 4th Floor East Tower
Tupelo, MS 38801-4934

Fax (662) 377-2423

Mailing address

450 E President Ave
Tupelo, MS 38801-5599

Specialties and licenses

TaxonomyCodeLicense
Acute Care Nurse Practitioner Primary 363LA2100X901796 (MS)

Acute Care Nurse Practitioner: Definition to come...

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About NPI 1669922670

Robin Jackson's National Provider Identifier is 1669922670, issued on Oct 13, 2016. The primary taxonomy on file is Acute Care Nurse Practitioner (363LA2100X), and the practice location is in Tupelo, MS. The record was last updated on Oct 13, 2016.