Jackson, Valerie Thresa

Jackson, Valerie Thresa is an individual health care provider with primary practice located at 1171 Hart St , Canton MS 39046-4805. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Hemodialysis, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Jackson, Valerie Thresa can be contacted via phone (601) 622-2428.

Contact Information

Primary practice address
1171 Hart St Canton MS 39046-4805
Phone: (601) 622-2428
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Hemodialysis 163WH0500X R865187 Mississippi
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 9049998 Mississippi

Profile Details

NPI number 1609402304
LBN Legal business name Jackson, Valerie Thresa
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 14th, 2020
Last updated Sep 13th, 2022 - about 3 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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