IndividualActive
Tequilla Jackson, BA
NPI 1720706799 · Social Worker · Oxford, MS
Tequilla Jackson, BA is a Social Worker provider in Oxford, MS (NPI 1720706799).
Provider details
- NPI number
- 1720706799
- Entity type
- Individual
- Primary specialty
- Social WorkerBehavioral Health & Social Service Providers
- Credential
- BA
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(53/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
2890 S Lamar Blvd
Oxford, MS 38655-5347
Phone: (662) 234-7521
Fax: (662) 236-3071
Street-level locationGet directions
Mailing address
152 Highway 7 S
Oxford, MS 38655-5392
Registry dates
- Enumerated
- 2022-08-16
- Last updated
- 2022-08-16
- Certified
- 2022-08-16
Frequently asked questions
- What is Tequilla Jackson's NPI number?
- Tequilla Jackson's National Provider Identifier (NPI) is 1720706799, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Tequilla Jackson's specialty?
- Tequilla Jackson is listed in the NPPES registry with a primary specialty of Social Worker (Behavioral Health & Social Service Providers).
- Where is Tequilla Jackson located?
- Tequilla Jackson's practice location on file with NPPES is 2890 S Lamar Blvd, Oxford, MS 38655-5347.
- What is Tequilla Jackson's phone number?
- The practice phone number listed in the NPPES registry for Tequilla Jackson is (662) 234-7521.
- Is Tequilla Jackson's NPI active?
- Yes — Tequilla Jackson's NPI (1720706799) is active in the NPPES registry as of the last update on 2022-08-16.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.