Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr Danny W Jackson DO PA

Organization Clinical Medical Laboratory · NPI 1659304301

Dr Danny W Jackson DO PA is a Clinical Medical Laboratory in Rolling Fork, Mississippi. Licensed in Mississippi. Registered with an NPI since 2006.

Licensed in
MS
In the registry since
2006
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

29 S Fourth St
Rolling Fork, MS 39159-5146
Phone: (662) 873-4361
Fax: (662) 873-2921
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Medical Laboratory (primary) Taxonomy 291U00000X (MS)

Record details

NPI number1659304301
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Danny Jackson — Owner · (662) 873-4361
NPI enumeratedJuly 8, 2006
Last updated in NPPESAugust 22, 2020
Mailing addressPo Box 520, Rolling Fork, MS 39159-0520