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Amy Jackson — NPI 1205710456, Diberville, MS | NPI Central

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NPI 1205710456

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Amy Jackson

NPI 1205710456 · Registered Nurse · Diberville, MS

Provider details

NPI number: 1205710456
Entity type: Individual
Primary specialty: Registered NurseNursing Service Providers
Sex: Female
Sole proprietor: Yes
License: 927917 (MS)

Specialties & taxonomies

Registered NursePrimary163W00000XLicense 927917 (MS)
Nursing Service Providers

Practice location

17083 Palm Ridge Dr

Diberville, MS 39540-8819

Phone: (985) 788-4269

Approximate (ZIP-level) locationGet directions

More MS providers

Mailing address

17083 Palm Ridge Dr

Diberville, MS 39540-8819

Registry dates

Enumerated: 2025-08-01
Last updated: 2025-08-01
Certified: 2025-08-01

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.