JOHNNIE JACKSON RN
NPI 1407244452
Nurse Practitioner - Family in Jackson, MS

Q: What is Johnnie Jackson's NPI number?

The NPI number for Johnnie Jackson is 1407244452. It was assigned to this individual provider in the NPPES registry on December 29, 2014.

Q: What is Johnnie Jackson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Johnnie Jackson was last updated on December 29, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.

Active since December 29, 2014

1901 W COUNTY LINE RD, JACKSON, MS 39213(601) 497-1306(601) 366-5949 Get Directions Write a Review

NPPES record last updated: December 29, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Johnnie Jackson Rn NPPES

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

JOHNNIE JACKSON RN (NPI 1407244452) is an individual family provider in Jackson, Mississippi, licensed in Mississippi (R127260) and active in the NPI registry since December 2014.

NPPES Registry Identity

NPI1407244452

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameJOHNNIE JACKSONCredential: RN

Location Address1901 W COUNTY LINE RDJackson, MS 39213-7847

Mailing Address1901 W County Line RdJackson, MS 39213-7847 · (601) 497-1306 · Fax (601) 366-5949

Phone(601) 497-1306

Fax(601) 366-5949

Sole ProprietorYes

Enumeration DateDecember 29, 2014

✔ NPI 1407244452 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in MS · R127260

1901 W COUNTY LINE RD, Jackson, MS 39213

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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 Johnnie Jackson's NPI number?

The NPI number for Johnnie Jackson is 1407244452. It was assigned to this individual provider in the NPPES registry on December 29, 2014.

Where is Johnnie Jackson located?

Johnnie Jackson practices at 1901 W County Line Rd, Jackson, MS 39213. The listed phone number is (601) 497-1306.

What is Johnnie Jackson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Johnnie Jackson was last updated on December 29, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.