Leigh Jackson, MD
Emergency Medicine in Southaven, MS. Individual provider (NPI-1).
NPI number1649790809
StatusActive
Last updated in NPPESJul 1, 2020
Details
- NPI
- 1649790809
- Entity type
- Individual (NPI-1)
- Name
- Leigh Jackson
- Credential
- MD
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jun 20, 2017
- Certification date
- Jul 1, 2020
- Last updated
- Jul 1, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207P00000X | Emergency Medicine | 27801 | MS | Yes |
| 207P00000X | Emergency Medicine | 125071063 | IL |
Practice location
7601 Southcrest PkwySouthaven, MS 38671-4739
Phone 662-772-4000
Mailing address
1431 Centerpoint Blvd Ste 100Knoxville, TN 37932-1983
Other practice locations
5841 S Maryland Ave # Mc5068
Chicago, IL 60637-1447
Chicago, IL 60637-1447
Phone 773-795-9758
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All 11 Emergency Medicine Physician providers in Southaven · All 1,578 providers in Southaven
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