Individual provider · Type 1 NPI

Tierra Jackson, RN

Registered Nurse · Southaven, MS

NPI number 1992371470 Active

Practice location

340 Stateline Rd W
Southaven, MS 38671-1610

Mailing address

116 Hyde Rd
Senatobia, MS 38668-5848

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse Primary 163W00000X904700 (MS)

Registered Nurse: (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient…

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About NPI 1992371470

Tierra Jackson, RN's National Provider Identifier is 1992371470, issued on Jun 3, 2021. The primary taxonomy on file is Registered Nurse (163W00000X), and the practice location is in Southaven, MS. The record was last updated on Jun 3, 2021.