MRS. YOLANDA H. JACKSON
NPI 1740626290
Program of All-Inclusive Care for the Elderly (PACE) Provider Organization in Boyle, MS

Active since May 10, 2013
512 THOMAS ST., BOYLE, MS 38730(662) 545-4867 Get Directions Write a Review

NPPES record last updated: May 10, 2013. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mrs. Yolanda H. Jackson NPPES

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

MRS. YOLANDA H. JACKSON (NPI 1740626290) is an individual program of all-inclusive care for the elderly (pace) provider organization provider in Boyle, Mississippi and active in the NPI registry since May 2013.

NPPES Registry Identity

NPI1740626290
Entity TypeIndividualFemale
Primary Taxonomy251T00000X
Provider Legal NameMRS. YOLANDA H. JACKSON
Location Address512 THOMAS ST.Boyle, MS 38730
Mailing Address512 Thomas St.Boyle, MS 38730 · (663) 545-4867
Sole ProprietorYes
Enumeration DateMay 10, 2013
NPI 1740626290 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code251T00000X
Definition
A PACE provider organization is a not-for-profit private or public entity that is primarily engaged in providing PACE services(unique capitated managed care benefits for the frail elderly which include comprehensive medical and social services). The following characteristics also apply to a PACE organization. It must: have a governing board that includes community representation; be able to provide complete PACE services regardless of frequency or duration of services; have a physical site to provide adult day services; have a defined service area; have safeguards against conflict of interest; have demonstrated fiscal soundness and have a formal Participant Bill of Rights.
512 THOMAS ST., Boyle, MS 38730

Other Identifiers 1

Medicaid38730MS

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 Yolanda Jackson's NPI number?

The NPI number for Yolanda Jackson is 1740626290. It was assigned to this individual provider in the NPPES registry on May 10, 2013.

Where is Yolanda Jackson located?

Yolanda Jackson practices at 512 Thomas St., Boyle, MS 38730. The listed phone number is (662) 545-4867.

What is Yolanda Jackson's specialty?

The primary specialty registered for this NPI is Program of All-Inclusive Care for the Elderly (PACE) Provider Organization with taxonomy code 251T00000X.

When was this NPI record last updated?

The NPPES record for Yolanda Jackson was last updated on May 10, 2013. NPI Profile syncs with the weekly NPPES data releases published by CMS.