| 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 |
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