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Jeannie Jackson

Perfusionist in Hattiesburg, MS. Individual provider (NPI-1).

NPI number1730200734
StatusActive
Last updated in NPPESMar 27, 2009

Details

NPI
1730200734
Entity type
Individual (NPI-1)
Name
Jeannie Jackson
Sex
Female
Sole proprietor
No
Enumeration date
Apr 3, 2007
Last updated
Mar 27, 2009

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
242T00000X Perfusionist––Yes

Practice location

415 S 28th Ave
Hattiesburg, MS 39401-7246

Phone 601-268-5800 · Fax 601-261-3530

Mailing address

415 S 28th Ave
Hattiesburg, MS 39401-7246

Phone 601-268-5800 · Fax 601-261-3530

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Other Perfusionist providers in Hattiesburg, MS

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