Jackson, Elizabeth R

Jackson, Elizabeth R is an individual health care provider with primary practice located at 176 Goodman Rd W , Southaven MS 38671-9405. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Jackson, Elizabeth R can be contacted via phone (662) 536-1020.

Contact Information

Primary practice address
176 Goodman Rd W Southaven MS 38671-9405
Phone: (662) 536-1020
Fax: (662) 536-1024
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X R786799 Mississippi

Profile Details

NPI number 1316143282
LBN Legal business name Jackson, Elizabeth R
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 26th, 2007
Last updated Nov 25th, 2014 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers