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Contact Information

BERNADETTE JACKSON, LMSW
2434 S EASON BLVD
TUPELO, MS38804-6942
 Phone: 662-844-1717
 Fax: 662-680-6416
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Social Worker

104100000X
 

Mental Health

101YM0800X
Indicates primary specialty

NPI Profile & details for BERNADETTE JACKSON · (Female)

NPI Number 1316227564
Status Active
Credentials LMSW (Licensed Master Social Worker)
Entity Individual
Enumeration date 08/19/2011
Last updated 08/26/2024 - More than a year ago
Sole proprietor 1 No
Identifiers
  • MS License # M8886
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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