Mrs Bernadette Jackson, LMSW is a
Social Worker based in Tupelo, Mississippi. Mrs Bernadette Jackson is licensed to practice in Mississippi (license number M8886) and her current practice location is
2434 S Eason Blvd, Tupelo, Mississippi. She can be reached at her office (for appointments etc.) via phone at
(662) 844-1717.
NPI number for Mrs Bernadette Jackson is 1316227564 and her current mailing address is 2434 S Eason Blvd, Tupelo, Mississippi. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1316227564.
Healthcare Provider's Profile
| Full Name | Mrs Bernadette Jackson |
|---|
| Gender | Female |
|---|
| Speciality | Social Worker |
|---|
| Location | 2434 S Eason Blvd, Tupelo, Mississippi |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1316227564
- Provider Enumeration Date: 08/19/2011
- Last Update Date: 08/26/2024
Medical Identifiers
Medical identifiers for Mrs Bernadette Jackson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1316227564 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 104100000X | Social Worker | M8886 (Mississippi) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Bernadette Jackson is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Mrs Bernadette Jackson, LMSW
2434 S Eason Blvd,
Tupelo, MS 38804-6942
Ph: (662) 844-1717 | Mrs Bernadette Jackson, LMSW
2434 S Eason Blvd,
Tupelo, MS 38804-6942
Ph: (662) 844-1717 |
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