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JACKSON DIABETES CARE AND CONSULTING LLC
NPI 1013443811
Clinic/Center - Health Service in Tupelo, MS

Active since May 11, 2017
2610 TRACELAND DR STE A, TUPELO, MS 38801(662) 681-6358 Get Directions Write a Review

NPPES record last updated: May 11, 2017. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Jackson Diabetes Care And Consulting Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JACKSON DIABETES CARE AND CONSULTING LLC (NPI 1013443811) is a healthcare organization registered as a health service in Tupelo, Mississippi and active in the NPI registry since May 2017. The organization lists Robin L Jackson, Pharmacist, as its authorized official.

NPPES Registry Identity

NPI1013443811
Entity TypeOrganization
Primary Taxonomy261QH0100X
Legal Business NameJACKSON DIABETES CARE AND CONSULTING LLC
Location Address2610 TRACELAND DR STE ATupelo, MS 38801-4237
Mailing Address2610 Traceland Dr Ste ATupelo, MS 38801-4237 · (662) 681-6358
Phone(662) 681-6358
Organization SubpartNo
Authorized OfficialRobin L JacksonPharmacist · (662) 304-0181
Enumeration DateMay 11, 2017
✔ NPI 1013443811 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Health ServiceAmbulatory Health Care Facilities
Taxonomy Code261QH0100X
License✔ Licensed in MS · E-09982
2610 TRACELAND DR STE A, Tupelo, MS 38801
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Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MISS ALIYAH HOOKS RD, LDN
Dietitian, Registered
2610 TRACELAND DR STE A
TUPELO, MS 38801
Lee County (662) 260-4708
HOOKS NUTRITION CONSULTING
Dietitian, Registered
2610 TRACELAND DR STE A
TUPELO, MS 38801
Lee County (662) 350-0398

Frequently Asked Questions

What is JACKSON DIABETES CARE AND CONSULTING LLC's NPI number?

The NPI number assigned to this healthcare provider is 1013443811, enumerated as an "organization" on May 11, 2017.

Where is the provider located?

The provider is located at 2610 TRACELAND DR STE A TUPELO, MS 38801 and the phone number is (662) 681-6358.

What is the provider's specialty?

Clinic/Center with taxonomy code 261QH0100X and a focus in Health Service.