1. Home
  2. Directory
  3. Mississippi
  4. Oxford
  5. Social Worker
  6. NPI Profile

MS. TEQUILLA MARIE JACKSON BA
NPI 1720706799
Social Worker in Oxford, MS

Active since August 16, 2022
2890 S LAMAR BLVD, OXFORD, MS 38655(662) 234-7521(662) 236-3071 Get Directions Write a Review

NPPES record last updated: August 16, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Ms. Tequilla Marie Jackson Ba NPPES

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

MS. TEQUILLA MARIE JACKSON BA (NPI 1720706799) is an individual social worker in Oxford, Mississippi and active in the NPI registry since August 2022.

NPPES Registry Identity

NPI1720706799
Entity TypeIndividualFemale
Primary Taxonomy104100000X
Provider Legal NameMS. TEQUILLA MARIE JACKSONCredential: BA
Location Address2890 S LAMAR BLVDOxford, MS 38655-5347
Mailing Address152 Highway 7 SOxford, MS 38655-5392 · (662) 234-7521 · Fax (662) 236-3071
Phone(662) 234-7521
Fax(662) 236-3071
Sole ProprietorNo
Enumeration DateAugust 16, 2022
NPPES CertifiedAugust 16, 2022
✔ NPI 1720706799 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers
Taxonomy Code104100000X
Definition
A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.
2890 S LAMAR BLVD, Oxford, MS 38655
Open in Google Maps ↗

Other Providers at the Same Location NPPES 3

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

NORTH MISSISSIPPI COMMISSION ON MENTAL ILLNESS/MENTAL RETARDATION
Clinic/Center (Primary Care)
2890 S LAMAR BLVD
OXFORD, MS 38655
Lafayette County (662) 234-7521
SHANNON MICHELLE FRYERY NP
Nurse Practitioner (Family)
2890 S LAMAR BLVD
OXFORD, MS 38655
Lafayette County (662) 636-6062
MAYO EYE CENTER, INC
Ophthalmology
2890 S LAMAR BLVD
OXFORD, MS 38655
Lafayette County (662) 234-3937

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 Tequilla Jackson's NPI number?

The NPI number for Tequilla Jackson is 1720706799. It was assigned to this individual provider in the NPPES registry on August 16, 2022.

Where is Tequilla Jackson located?

Tequilla Jackson practices at 2890 S Lamar Blvd, Oxford, MS 38655. The listed phone number is (662) 234-7521.

What is Tequilla Jackson's specialty?

The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.

When was this NPI record last updated?

The NPPES record for Tequilla Jackson was last updated on August 16, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.