TIERRA JACKSON RN
NPI 1992371470
Registered Nurse in Southaven, MS

Active since June 03, 2021
340 STATELINE RD W, SOUTHAVEN, MS 38671(662) 579-3955 Get Directions Write a Review

NPPES record last updated: June 3, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Tierra Jackson Rn NPPES

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

TIERRA JACKSON RN (NPI 1992371470) is an individual registered nurse in Southaven, Mississippi, licensed in Mississippi (904700) and active in the NPI registry since June 2021.

NPPES Registry Identity

NPI1992371470
Entity TypeIndividualFemale
Primary Taxonomy163W00000X
Provider Legal NameTIERRA JACKSONCredential: RN
Location Address340 STATELINE RD WSouthaven, MS 38671-1610
Mailing Address116 Hyde RdSenatobia, MS 38668-5848 · (901) 674-0950
Sole ProprietorNo
Enumeration DateJune 3, 2021
NPPES CertifiedJune 3, 2021
NPI 1992371470 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyRegistered NurseNursing Service Providers
Taxonomy Code163W00000X
License Licensed in MS · 904700
Definition
(1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span.
340 STATELINE RD W, Southaven, MS 38671

Other Providers at the Same Location NPPES 18

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

Social Worker
340 STATELINE RD W
SOUTHAVEN, MS 38671
Social Worker (Clinical)
340 STATELINE RD W
SOUTHAVEN, MS 38671
Licensed Practical Nurse
340 STATELINE RD W
SOUTHAVEN, MS 38671
Licensed Practical Nurse
340 STATELINE RD W
SOUTHAVEN, MS 38671
Social Worker (Clinical)
340 STATELINE RD W
SOUTHAVEN, MS 38671
Registered Nurse (Addiction (Substance Use Disorder))
340 STATELINE RD W
SOUTHAVEN, MS 38671
Counselor (Mental Health)
340 STATELINE RD W
SOUTHAVEN, MS 38671
Substance Abuse Rehabilitation Facility
340 STATELINE RD W
SOUTHAVEN, MS 38671

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 Tierra Jackson's NPI number?

The NPI number for Tierra Jackson is 1992371470. It was assigned to this individual provider in the NPPES registry on June 3, 2021.

Where is Tierra Jackson located?

Tierra Jackson practices at 340 Stateline Rd W, Southaven, MS 38671. The listed phone number is (662) 579-3955.

What is Tierra Jackson's specialty?

The primary specialty registered for this NPI is Registered Nurse with taxonomy code 163W00000X.

When was this NPI record last updated?

The NPPES record for Tierra Jackson was last updated on June 3, 2021. 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.