NPI 1740626290

Yolanda H. Jackson

Practitioner PACE Provider Organization Boyle, MS

Practice location

Address: 512 Thomas St., Boyle, MS 38730
Phone: (662) 545-4867

Registered specialties

PACE Provider Organization Primary

Agencies Taxonomy 251T00000X

Other Program of All-Inclusive Care for the Elderly (PACE) Provider Organization providers in Mississippi →

Registry record

NPI: 1740626290
Entity type: Individual
Sex (as registered): Female
NPI issued: 10 May 2013
Record last updated: 10 May 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.