KEISHA PERRY JACKSON PMHNP
NPI 1972336923
Nurse Practitioner - Psychiatric/Mental Health in Kings Bay, GA

Q: What is Keisha Jackson's NPI number?

The NPI number for Keisha Jackson is 1972336923. It was assigned to this individual provider in the NPPES registry on August 24, 2024.

Q: What is Keisha Jackson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Q: When was this NPI record last updated?

The NPPES record for Keisha Jackson was last updated on January 8, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months 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 August 24, 2024

988 USS JAMES MADISON RD, BUILDING 1028, KINGS BAY, GA 31547(912) 573-6578(912) 573-2597 Get Directions Write a Review

NPPES record last updated: January 8, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 8, 2026, Aug 24, 2024 (2 updates tracked since 2024).

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About Keisha Perry Jackson Pmhnp NPPES

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

KEISHA PERRY JACKSON PMHNP (NPI 1972336923) is an individual psychiatric/mental health provider in Kings Bay, Georgia, licensed in Mississippi (906900) and active in the NPI registry since August 2024. She maintains a secondary practice location in Jackson.

NPPES Registry Identity

NPI1972336923

Entity TypeIndividualFemale

Primary Taxonomy363LP0808X

Provider Legal NameKEISHA PERRY JACKSONCredential: PMHNP

Location Address988 USS JAMES MADISON RD, BUILDING 1028Kings Bay, GA 31547

Mailing Address302 Eagle View DrSenatobia, MS 38668-1206 · (662) 629-2209

Phone(912) 573-6578

Fax(912) 573-2597

Sole ProprietorYes

Enumeration DateAugust 24, 2024

Last NPPES UpdateJanuary 8, 20262 updates tracked since enumeration

NPPES CertifiedJanuary 8, 2026

✔ NPI 1972336923 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

License✔ Licensed in MS · 906900

988 USS JAMES MADISON RD, Kings Bay, GA 31547

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Secondary Practice Location 1

Location 11755 Lelia Dr Ste 405Jackson, MS 39216-4828 · Phone (662) 629-2209

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 Keisha Jackson's NPI number?

The NPI number for Keisha Jackson is 1972336923. It was assigned to this individual provider in the NPPES registry on August 24, 2024.

Where is Keisha Jackson located?

Keisha Jackson practices at 988 Uss James Madison Rd Building 1028, Kings Bay, GA 31547. The listed phone number is (912) 573-6578.

What is Keisha Jackson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

When was this NPI record last updated?

The NPPES record for Keisha Jackson was last updated on January 8, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months 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.