Eliceia Dionne Jackson M.D.

  • NPI 1699937557
According to our database, the NPI number for Eliceia Dionne Jackson M.D. is 1699937557 and activated since 15 years ago. Eliceia Dionne Jackson M.D. is an individual provider who specializes in Family Medicine, and the primary practice location is 92 Ratliff St, Lucedale, MS 39452. You can also contact Eliceia Dionne Jackson M.D. via telephone number is (601) 947-8181. Provider NPI information was last updated on 11/22/2016.

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Overview of Eliceia Dionne Jackson M.D.

  • NPI number: 1598434045
  • Provider type: Individual
  • Gender: Female
  • Active since: 07/01/2008
  • Last updated: 11/22/2016

Primary Scrop of Practice

  • Taxonomy Code: 207Q00000X
  • Specialty: Family Medicine
  • License Number: 21663
  • License State: MS

Provider Mailing Address

  • Address: Po Box 1007
    Lucedale, MS 39452
  • Phone: 601-947-8181
  • Fax: 601-947-1331

Provider Practice Location

  • Address: 92 Ratliff St
    Lucedale, MS 39452
  • Phone: 601-947-8181
  • Fax: 601-947-1331

Scope of Practice

  • Taxonomy Code: 207Q00000X
  • Specialty: Family Medicine
  • License Number: 21663
  • License State: MS
  • Switch: Yes

Legacy Identifiers

  • Provider Identifier: 09180751
  • Identifier Type: Medicare Oscar/Certification
  • Identifier State: MS
  • Issuer:

Question & Answers

  • Q: What is the npi number?
  • A: An NPI is a 10-digit numeric identifier. It does not carry information about you, such as the State where you practice, your provider type, or your specialization. Your NPI will not change, even if your name, address, taxonomy, or other information changes.
  • Q: What are health care provider taxonomy codes?
  • A: The Health Care Provider (HCP) Taxonomy Codes Codes define a health care service provider type, classification, and area of specialization.
  • Q: What is the npi number for Eliceia Dionne Jackson M.D.?
  • A: The npi number for Eliceia Dionne Jackson M.D. is 1699937557.
  • Q: What are Eliceia Dionne Jackson M.D.'s specialties?
  • A: Eliceia Dionne Jackson M.D.'s specialties are Family Medicine and different specialities.
  • Q: What is the medical license for Eliceia Dionne Jackson M.D.?
  • A: The medical license number for Eliceia Dionne Jackson M.D. is 21663 and issued in MS in USA.
  • Q: Where is Eliceia Dionne Jackson M.D. practice location?
  • A: Eliceia Dionne Jackson M.D. is practicing at 92 Ratliff St, Lucedale, MS 39452.
  • Q: How to contact Eliceia Dionne Jackson M.D.?
  • A: You can contact Eliceia Dionne Jackson M.D. via 601-947-8181.