Essie Jackson

NPI #1821751850 in Columbia, Mississippi

Provider Information

NPI Number: 1821751850
Entity Type: Individual
Name: Essie Jackson
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Homemaker
Enumeration Date: Oct 17, 2021
Last Updated: Oct 17, 2021

Practice Location

Address: 184 ARTHUR B JOHNSON LN
City: Columbia
State: Mississippi
ZIP Code: 39429-8203
Phone: (601) 441-3975

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Homemaker	376J00000X	Primary

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