Lawanda S. Jackson

NPI #1215376074 in Whitfield, Mississippi

Provider Information

NPI Number: 1215376074
Entity Type: Individual
Name: Lawanda S. Jackson
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Community Health Worker
Enumeration Date: Jun 14, 2013
Last Updated: Jun 14, 2013

Practice Location

Address: 3550 HIGHWAY, 468 WEST
Address 2: FISCAL SERVICES
City: Whitfield
State: Mississippi
ZIP Code: 39193-0157
Phone: (601) 351-8000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Community Health Worker	172V00000X	Primary

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