JACKIE TANNA MA
NPI 1649594029
Counselor - Mental Health in Clarksdale, MS

Active since March 15, 2010
1742 CHERYL ST, CLARKSDALE, MS 38614(662) 627-7267(662) 627-5240 Get Directions Write a Review

NPPES record last updated: March 15, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jackie Tanna Ma NPPES

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

JACKIE TANNA MA (NPI 1649594029) is an individual mental health provider in Clarksdale, Mississippi and active in the NPI registry since March 2010.

NPPES Registry Identity

NPI1649594029
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameJACKIE TANNACredential: MA
Location Address1742 CHERYL STClarksdale, MS 38614-7218
Mailing AddressPo Box 1046Clarksdale, MS 38614-1046 · (662) 627-7267 · Fax (662) 627-5240
Fax(662) 627-5240
Sole ProprietorNo
Enumeration DateMarch 15, 2010
NPI 1649594029 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
1742 CHERYL ST, Clarksdale, MS 38614

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.

Counselor (Mental Health)
1742 CHERYL ST
CLARKSDALE, MS 38614
Counselor (Mental Health)
1742 CHERYL ST
CLARKSDALE, MS 38614
Counselor (Mental Health)
1742 CHERYL ST
CLARKSDALE, MS 38614
Counselor (Mental Health)
1742 CHERYL ST
CLARKSDALE, MS 38614
Counselor (Mental Health)
1742 CHERYL ST
CLARKSDALE, MS 38614
Audiologist
1742 CHERYL ST
CLARKSDALE, MS 38614
Counselor (Addiction (Substance Use Disorder))
1742 CHERYL ST
CLARKSDALE, MS 38614
Counselor (Mental Health)
1742 CHERYL ST
CLARKSDALE, MS 38614

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 Jackie Tanna's NPI number?

The NPI number for Jackie Tanna is 1649594029. It was assigned to this individual provider in the NPPES registry on March 15, 2010.

Where is Jackie Tanna located?

Jackie Tanna practices at 1742 Cheryl St, Clarksdale, MS 38614. The listed phone number is (662) 627-7267.

What is Jackie Tanna's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Jackie Tanna was last updated on March 15, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.