IndividualActive
Jeremy Jackson, M.D.
NPI 1790996544 · Dermatology Physician · Jackson, MS
Provider details
- NPI number
- 1790996544
- Entity type
- Individual
- Primary specialty
- Dermatology PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- T-1892 (MS)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
2500 N State St
Dept. of Medicine
Jackson, MS 39216-4500
Phone: (601) 984-5601
Fax: (601) 984-6665
Approximate (ZIP-level) locationGet directions
Mailing address
2500 N State St
Jackson, MS 39216-4500
Registry dates
- Enumerated
- 2007-05-24
- Last updated
- 2017-10-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.