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Contact Information

GREGORY L JACKSON, MSW
342 W PROGRESS RD
PRENTISS, MS39474-5221
 Phone: 601-543-5585
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Social Worker

104100000X
Indicates primary specialty

NPI Profile & details for GREGORY L JACKSON · (Male)

NPI Number 1295194124
Status Active
Credentials MSW (Master of Science in Social Work)
Entity Individual
Enumeration date 02/20/2016
Last updated 02/20/2016 - About 10 years ago
Sole proprietor 1 Yes
Identifiers
  • CT License # 002608
  • TN Medicaid Q017979
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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