Dena W. Jackson, M.d. | |
527 Silver Cross Dr Brookhaven MS 39601-2388 | |
(601) 835-0507 | |
(601) 835-2766 |
Full Name | Dena W. Jackson, M.d. |
---|---|
Speciality | Internal Medicine |
Location | 527 Silver Cross Dr, Brookhaven, Mississippi |
Authorized Official Name and Position | Diane M Price (OFFICE MANAGER) |
Authorized Official Contact | 6018350507 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Dena W. Jackson, M.d. Po Box 4197 Brookhaven MS 39603-6197 Ph: (601) 835-0507 | Dena W. Jackson, M.d. 527 Silver Cross Dr Brookhaven MS 39601-2388 Ph: (601) 835-0507 |
NPI Number | 1427168368 |
---|---|
Provider Enumeration Date | 08/30/2006 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1427168368 | NPI | - | NPPES |
09015702 | Medicaid | MS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
News Archive
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