Amy Jackson's National Provider Identifier (NPI) Details
Amy Jackson, LCSW
NPI: 1659066223
Enumeration Date: 2023-04-10
Last updated: 2023-04-10
Sole Proprietor: NO
Status: active
Postal Address: 220 S 40TH AVE, HATTIESBURG, MS
Phone:
Primary Practice Address: 329 HARDY ST, HATTIESBURG, MS
Practice's phone: 000-000-0000