IndividualActive
Jeannie Jackson
NPI 1730200734 · Perfusionist · Hattiesburg, MS
Provider details
- NPI number
- 1730200734
- Entity type
- Individual
- Primary specialty
- PerfusionistTechnologists, Technicians & Other Technical Service Providers
- Sex
- Female
- Sole proprietor
- No
Practice location
415 S 28th Ave
Hattiesburg, MS 39401-7246
Phone: (601) 268-5800
Fax: (601) 261-3530
Mailing address
415 S 28th Ave
Hattiesburg, MS 39401-7246
Registry dates
- Enumerated
- 2007-04-03
- Last updated
- 2009-03-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.