MRS. Yolanda H. Jackson
NPI #1740626290 in Boyle, Mississippi
Provider Information
- NPI Number
- 1740626290
- Entity Type
- Individual
- Name
- MRS. Yolanda H. Jackson
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Program of All-Inclusive Care for the Elderly (PACE) Provider Organization
- Enumeration Date
- May 10, 2013
- Last Updated
- May 10, 2013
Practice Location
- Address
- 512 THOMAS ST.
- City
- Boyle
- State
- Mississippi
- ZIP Code
- 38730
- Phone
- (662) 545-4867
Specialties & Taxonomy Codes
| Specialty |
|---|
| Program of All-Inclusive Care for the Elderly (PACE) Provider Organization |
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