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JACKSON PUBLIC SCHOOLS DBA BLACKBURN CLINIC
NPI 1780729285
Registered Nurse - School in Jackson, MS

Active since February 21, 2007
1311 W PEARL ST, JACKSON, MS 39203(601) 354-3346(601) 352-6436 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jackson Public Schools Dba Blackburn Clinic NPPES

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

JACKSON PUBLIC SCHOOLS DBA BLACKBURN CLINIC (NPI 1780729285) is a healthcare organization registered as a school in Jackson, Mississippi and active in the NPI registry since February 2007. The organization lists Earl Watkins, Superintendent, as its authorized official.

NPPES Registry Identity

NPI1780729285
Entity TypeOrganization
Primary Taxonomy163WS0200X
Legal Business NameJACKSON PUBLIC SCHOOLS DBA BLACKBURN CLINIC
Location Address1311 W PEARL STJackson, MS 39203-2841
Mailing Address662 S President StJackson, MS 39201-5601 · (601) 960-8705
Phone(601) 354-3346
Fax(601) 352-6436
Organization SubpartNo
Authorized OfficialEarl WatkinsSuperintendent · (601) 960-8700
Enumeration DateFebruary 21, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1780729285 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRegistered Nurse · SchoolNursing Service Providers
Taxonomy Code163WS0200X
License✔ Licensed in MS · R629693
1311 W PEARL ST, Jackson, MS 39203
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Other Identifiers 1

Medicaid09570093MS

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

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

THERAPY STAFF SOLUTIONS
Clinic/Center (Medical Specialty)
1311 W PEARL ST
JACKSON, MS 39203
Hinds County (601) 960-5329
CENTRAL MISSISSIPPI CIVIC IMPROVEMENT ASSOCIATION, INC
Clinic/Center (Federally Qualified Health Center (FQHC))
1311 W PEARL ST
JACKSON, MS 39203
Hinds County (601) 362-5321

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 Jackson Public Schools Dba Blackburn Clinic's NPI number?

The NPI number for Jackson Public Schools Dba Blackburn Clinic is 1780729285. It was assigned to this organization in the NPPES registry on February 21, 2007.

Where is Jackson Public Schools Dba Blackburn Clinic located?

Jackson Public Schools Dba Blackburn Clinic is located at 1311 W Pearl St, Jackson, MS 39203. The listed phone number is (601) 354-3346.

What is Jackson Public Schools Dba Blackburn Clinic's specialty?

The primary specialty registered for this NPI is Registered Nurse, specializing in School, with taxonomy code 163WS0200X.

When was this NPI record last updated?

The NPPES record for Jackson Public Schools Dba Blackburn Clinic was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.