MR. Russell Earl Jackson

  • NPI 1164576476
According to our database, the NPI number for MR. Russell Earl Jackson is 1164576476 and activated since 17 years ago. MR. Russell Earl Jackson is an individual provider who specializes in Addiction (Substance Use Disorder), and the primary practice location is 920 Boone St, Tupelo, MS 38804. You can also contact MR. Russell Earl Jackson via telephone number is (662) 844-3531. Provider NPI information was last updated on 07/08/2007.

Recently Active NPIs

Overview of MR. Russell Earl Jackson

  • NPI number: 1598434045
  • Provider type: Individual
  • Gender: Male
  • Active since: 01/23/2007
  • Last updated: 07/08/2007

Primary Scrop of Practice

  • Taxonomy Code: 101YA0400X
  • Specialty: Addiction (Substance Use Disorder)
  • License Number: unknow
  • License State: unknow

Provider Mailing Address

  • Address: Po Box 1943
    Verona, MS 38879
  • Phone: 662-566-7969
  • Fax:

Provider Practice Location

  • Address: 920 Boone St
    Tupelo, MS 38804
  • Phone: 662-844-3531
  • Fax: 662-844-1757

Scope of Practice

  • Taxonomy Code: 101YA0400X
  • Specialty: Addiction (Substance Use Disorder)
  • License Number:
  • License State:
  • Switch: Yes

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 MR. Russell Earl Jackson?
  • A: The npi number for MR. Russell Earl Jackson is 1164576476.
  • Q: What are MR. Russell Earl Jackson's specialties?
  • A: MR. Russell Earl Jackson's specialties are Addiction (Substance Use Disorder) and different specialities.
  • Q: What is the medical license for MR. Russell Earl Jackson?
  • A: The medical license number for MR. Russell Earl Jackson is unknow and issued in unknow in USA.
  • Q: Where is MR. Russell Earl Jackson practice location?
  • A: MR. Russell Earl Jackson is practicing at 920 Boone St, Tupelo, MS 38804.
  • Q: How to contact MR. Russell Earl Jackson?
  • A: You can contact MR. Russell Earl Jackson via 662-844-3531.