Jackson, Robin

Jackson, Robin is an individual health care provider with primary practice located at 830 S Gloster St 4Th Floor East Tower, Tupelo MS 38801-4934. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Acute Care, which is considered as her primary health care specialty. Jackson, Robin can be contacted via phone (662) 377-7170.

Contact Information

Primary practice address
830 S Gloster St 4Th Floor East Tower Tupelo MS 38801-4934
Phone: (662) 377-7170
Fax: (662) 377-2423
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X 901796 Mississippi

Profile Details

NPI number 1669922670
LBN Legal business name Jackson, Robin
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 13th, 2016
Last updated Oct 13th, 2016 - about 9 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.

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