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

Amy Jackson

Individual provider Registered Nurse · NPI 1205710456

Amy Jackson is a Registered Nurse in Diberville, Mississippi. Practices as a sole proprietor. Licensed in Mississippi.

Licensed in
MS
In the registry since
2025

Practice location Address checks out

17083 Palm Ridge Dr
Diberville, MS 39540-8819
Phone: (985) 788-4269
Show map & directions

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

Specialties & licences

Registered Nurse (primary) Taxonomy 163W00000X · Licence 927917 (MS)

Record details

NPI number1205710456
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedAugust 1, 2025
Last updated in NPPESAugust 1, 2025
Certification dateAugust 1, 2025
Mailing address17083 Palm Ridge Dr, Diberville, MS 39540-8819

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