| Kodi Long Jackson, PA | |
|
971 Lakeland Dr Ste 356, Jackson, MS 39216-4607 | |
| (601) 200-4644 | |
| (601) 200-4645 |
| Full Name | Kodi Long Jackson |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Location | 971 Lakeland Dr Ste 356, Jackson, Mississippi |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588373716 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | (* (Not Available)) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Kodi Long Jackson, PA 5959 S Sherwood Forest Blvd, Baton Rouge, LA 70816-6038 Ph: (601) 200-4644 | Kodi Long Jackson, PA 971 Lakeland Dr Ste 356, Jackson, MS 39216-4607 Ph: (601) 200-4644 |
Amber Goodman, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 970 Lakeland Dr Ste 61, Jackson, MS 39216 Phone: 601-982-7850 Fax: 601-366-8507 | |
David Andrew Porter, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 2500 N State St, Jackson, MS 39216 Phone: 601-984-1000 | |
Rowdy Chance Lee, MD Physician Assistant Medicare: Medicare Enrolled Practice Location: 2500 N State St, Jackson, MS 39216 Phone: 601-984-5153 | |
Kelsey A North, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 971 Lakeland Dr Ste 1460, Jackson, MS 39216 Phone: 513-708-4211 | |
Mary Allison Durr, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1325 E Fortification St, Jackson, MS 39202 Phone: 601-354-4488 Fax: 601-914-1835 | |
Sarah Joanna Mason, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 7275 S Siwell Rd, Jackson, MS 39272 Phone: 601-373-7722 Fax: 601-373-7128 | |
Mrs. Victoria Nicole Lott, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 971 Lakeland Dr Ste 656, Jackson, MS 39216 Phone: 601-366-6606 |