Yolanda H. Jackson Valid NPI
Individual provider · PACE Provider Organization · Boyle, MS
- NPI
- 1740626290
- Type
- Individual (Type 1)
- Primary specialty
- PACE Provider Organization (Program of All-Inclusive Care for the Elderly (PACE) Provider Organization)
- Specialty group
- Agencies
- Taxonomy code
- 251T00000X
- Sex
- Female
- Sole proprietor
- Yes
- Enumerated
- 2013-05-10
- Last updated
- 2013-05-10
Practice location
512 Thomas St.
Boyle, MS 38730
(662) 545-4867