NPI 1215376074

Lawanda S. Jackson

Practitioner Community Health Worker Whitfield, MS

Practice location

Address: 3550 Highway, 468 West Fiscal Services, Whitfield, MS 39193-0157
Phone: (601) 351-8000
Mailing address: P.O. Box 1 - Fiscal Services 3550 Highway, 468 West, Whitfield, MS 39193-0157

Registered specialties

Community Health Worker Primary

Other Service Providers Taxonomy 172V00000X

Other Community Health Worker providers in Mississippi →

Registry record

NPI: 1215376074
Entity type: Individual
Sex (as registered): Female
NPI issued: 14 Jun 2013
Record last updated: 14 Jun 2013

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.