NPI 1730200734
Jeannie Jackson
Practice location
- Address
- 415 S 28th Ave, Hattiesburg, MS 39401-7246
- Phone
- (601) 268-5800
- Fax
- (601) 261-3530
Registered specialties
Perfusionist
Primary
Registry record
- NPI
- 1730200734
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 3 Apr 2007
- Record last updated
- 27 Mar 2009
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.