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MR. RUSSELL EARL JACKSON
NPI 1164576476
Counselor - Addiction (Substance Use Disorder) in Tupelo, MS

Active since January 23, 2007
920 BOONE ST, TUPELO, MS 38804(662) 844-3531(662) 844-1757 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Russell Earl Jackson NPPES

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

MR. RUSSELL EARL JACKSON (NPI 1164576476) is an individual addiction (substance use disorder) provider in Tupelo, Mississippi and active in the NPI registry since January 2007.

NPPES Registry Identity

NPI1164576476
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameMR. RUSSELL EARL JACKSON
Location Address920 BOONE STTupelo, MS 38804-5908
Mailing AddressPo Box 1943Verona, MS 38879-1943 · (662) 566-7969
Phone(662) 844-3531
Fax(662) 844-1757
Sole ProprietorNo
Enumeration DateJanuary 23, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1164576476 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
920 BOONE ST, Tupelo, MS 38804
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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.

MR. RICHARD EUGENE DUNNAM NCAC II, CADC
Counselor (Addiction (Substance Use Disorder))
920 BOONE ST
TUPELO, MS 38804
Lee County (662) 844-3531
MR. PAUL ALEXANDER DOBBS
Counselor (Addiction (Substance Use Disorder))
920 BOONE ST
TUPELO, MS 38804
Lee County (662) 844-3531
MS. BRENDA JOYCE GREAR
Counselor (Addiction (Substance Use Disorder))
920 BOONE ST
TUPELO, MS 38804
Lee County (662) 844-3531
MADISON RENE' CAVER LMSW
Social Worker
920 BOONE ST
TUPELO, MS 38804
Lee County (662) 844-3531
MS. CYNTHIA HOPE VICK
Counselor (Addiction (Substance Use Disorder))
920 BOONE ST
TUPELO, MS 38804
Lee County (662) 844-3531
MRS. DESIREE WASINGER CARNATHAN M.ED.
Counselor (Addiction (Substance Use Disorder))
920 BOONE ST
TUPELO, MS 38804
Lee County (662) 844-3531
MS. GAIL FRANCES CHERRY
Counselor (Addiction (Substance Use Disorder))
920 BOONE ST
TUPELO, MS 38804
Lee County (662) 844-3531
HOLLY WILLIAMSON CANNON
Counselor (Addiction (Substance Use Disorder))
920 BOONE ST
TUPELO, MS 38804
Lee County (662) 844-3531

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 Russell Jackson's NPI number?

The NPI number for Russell Jackson is 1164576476. It was assigned to this individual provider in the NPPES registry on January 23, 2007.

Where is Russell Jackson located?

Russell Jackson practices at 920 Boone St, Tupelo, MS 38804. The listed phone number is (662) 844-3531.

What is Russell Jackson's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Russell Jackson was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.