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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

JACKSON MENTAL HEALTH SERVICES, LLC
NPI 1144196940
Nurse Practitioner - Psychiatric/Mental Health in Hermanville, MS

Active since October 17, 2025
1035 COURTNEY RD, HERMANVILLE, MS 39086(601) 448-9924(601) 202-4010 Get Directions Write a Review

NPPES record last updated: July 22, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 22, 2026, Apr 29, 2026, Dec 24, 2025 (3 updates tracked since 2025).

About Jackson Mental Health Services, Llc NPPES

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

JACKSON MENTAL HEALTH SERVICES, LLC (NPI 1144196940) is a healthcare organization registered as a psychiatric/mental health in Hermanville, Mississippi and active in the NPI registry since October 2025. The organization lists Dominique Alexis Jackson, Owner, as its authorized official.

NPPES Registry Identity

NPI1144196940
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameJACKSON MENTAL HEALTH SERVICES, LLC
Location Address1035 COURTNEY RDHermanville, MS 39086-7700
Mailing Address1035 Courtney RdHermanville, MS 39086-7700 · (601) 589-4854 · Fax (601) 893-7096
Phone(601) 448-9924
Fax(601) 202-4010
Organization SubpartNo
Authorized OfficialDominique Alexis JacksonOwner · (601) 589-4854
Enumeration DateOctober 17, 2025
Last NPPES UpdateJuly 22, 20263 updates tracked since enumeration
NPPES CertifiedJuly 22, 2026
✔ NPI 1144196940 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
1035 COURTNEY RD, Hermanville, MS 39086
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 Jackson Mental Health Services, LLC's NPI number?

The NPI number for Jackson Mental Health Services, LLC is 1144196940. It was assigned to this organization in the NPPES registry on October 17, 2025.

Where is Jackson Mental Health Services, LLC located?

Jackson Mental Health Services, LLC is located at 1035 Courtney Rd, Hermanville, MS 39086. The listed phone number is (601) 448-9924.

What is Jackson Mental Health Services, LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

When was this NPI record last updated?

The NPPES record for Jackson Mental Health Services, LLC was last updated on July 22, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.