Individual provider · Type 1 NPI

Shelby H. Jackson

Family Nurse Practitioner · Grenada, MS

NPI number 1841822152 Active

Practice location

960 Avent Dr
Grenada, MS 38901-5230

Mailing address

504 Clinton Center Drive, Cbo-Suite 4300
Jackson, MS 39056

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X903610 (MS)

Family Nurse Practitioner: Definition to come...

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About NPI 1841822152

Shelby H. Jackson's National Provider Identifier is 1841822152, issued on Feb 5, 2020. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Grenada, MS. The record was last updated on Mar 5, 2021.