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UNDRA JACKSON
NPI 1083196851
Counselor - School in Mccomb, MS

Active since August 29, 2018
1701 WHITE ST, MCCOMB, MS 39648(601) 249-4218(601) 249-4234 Get Directions Write a Review

NPPES record last updated: August 29, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Undra Jackson NPPES

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

UNDRA JACKSON (NPI 1083196851) is an individual school provider in Mccomb, Mississippi and active in the NPI registry since August 2018.

NPPES Registry Identity

NPI1083196851
Entity TypeIndividualMale
Primary Taxonomy101YS0200X
Provider Legal NameUNDRA JACKSON
Location Address1701 WHITE STMccomb, MS 39648-2711
Mailing Address1701 White StMccomb, MS 39648-2711 · (601) 249-4218 · Fax (601) 249-4234
Phone(601) 249-4218
Fax(601) 249-4234
Sole ProprietorNo
Enumeration DateAugust 29, 2018
✔ NPI 1083196851 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · SchoolBehavioral Health & Social Service Providers
Taxonomy Code101YS0200X
1701 WHITE ST, Mccomb, MS 39648
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Other Providers at the Same Location NPPES 20

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

AMANDA CLARK
Counselor
1701 WHITE ST
MCCOMB, MS 39648
Pike County (601) 249-4218
CLAUDIE M BANKS
Social Worker
1701 WHITE ST
MCCOMB, MS 39648
Pike County (601) 249-4288
JESSICA WHATLEY
Social Worker
1701 WHITE ST
MCCOMB, MS 39648
Pike County (601) 684-2173
MARIANNA BORDERS PCMHT
Counselor (Mental Health)
1701 WHITE ST
MCCOMB, MS 39648
Pike County (601) 249-4228
TRENAE NELSON RN
Registered Nurse
1701 WHITE ST
MCCOMB, MS 39648
Pike County (601) 249-4218
CATINA BRIGSS
Counselor (Mental Health)
1701 WHITE ST
MCCOMB, MS 39648
Pike County (601) 249-4218
JAMES H CHURCH RN
Registered Nurse
1701 WHITE ST
MCCOMB, MS 39648
Pike County (601) 276-3040
QUIESHA TENNER
Counselor (Mental Health)
1701 WHITE ST
MCCOMB, MS 39648
Pike County (601) 249-4217

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Undra Jackson's NPI number?

The NPI number for Undra Jackson is 1083196851. It was assigned to this individual provider in the NPPES registry on August 29, 2018.

Where is Undra Jackson located?

Undra Jackson practices at 1701 White St, Mccomb, MS 39648. The listed phone number is (601) 249-4218.

What is Undra Jackson's specialty?

The primary specialty registered for this NPI is Counselor, specializing in School, with taxonomy code 101YS0200X.

When was this NPI record last updated?

The NPPES record for Undra Jackson was last updated on August 29, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.