Keandrea Jackson M.A.

  • NPI 1639353592
According to our database, the NPI number for Keandrea Jackson M.A. is 1639353592 and activated since 16 years ago. Keandrea Jackson M.A. is an individual provider who specializes in Mental Health, and the primary practice location is 4780 I 55 N Ste 105, Jackson, MS 39211. You can also contact Keandrea Jackson M.A. via telephone number is (601) 956-4816. Provider NPI information was last updated on 07/09/2021.

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Overview of Keandrea Jackson M.A.

  • NPI number: 1598434045
  • Provider type: Individual
  • Gender: Female
  • Active since: 12/27/2007
  • Last updated: 07/09/2021

Primary Scrop of Practice

  • Taxonomy Code: 101YM0800X
  • Specialty: Mental Health
  • License Number: unknow
  • License State: unknow

Provider Mailing Address

  • Address: 113a S Davis Ave
    Cleveland, MS 38732
  • Phone: 662-843-9445
  • Fax: 662-843-9447

Provider Practice Location

  • Address: 4780 I 55 N Ste 105
    Jackson, MS 39211
  • Phone: 601-956-4816
  • Fax: 601-956-4817

Scope of Practice

  • Taxonomy Code: 101YM0800X
  • Specialty: Mental Health
  • License Number:
  • License State:
  • Switch: Yes

Legacy Identifiers

  • Provider Identifier: 0018205
  • 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 Keandrea Jackson M.A.?
  • A: The npi number for Keandrea Jackson M.A. is 1639353592.
  • Q: What are Keandrea Jackson M.A.'s specialties?
  • A: Keandrea Jackson M.A.'s specialties are Mental Health and different specialities.
  • Q: What is the medical license for Keandrea Jackson M.A.?
  • A: The medical license number for Keandrea Jackson M.A. is unknow and issued in unknow in USA.
  • Q: Where is Keandrea Jackson M.A. practice location?
  • A: Keandrea Jackson M.A. is practicing at 4780 I 55 N Ste 105, Jackson, MS 39211.
  • Q: How to contact Keandrea Jackson M.A.?
  • A: You can contact Keandrea Jackson M.A. via 601-956-4816.