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

Lavashia Jackson

Individual provider PACE Provider Organization · NPI 1912862210

Lavashia Jackson is a PACE Provider Organization in Ocean Springs, Mississippi. Practices as a sole proprietor. Registered with an NPI since 2025.

In the registry since
2025

Practice location Address checks out

2636 N 12th St
Ocean Springs, MS 39564-9481
Phone: (228) 281-0270
Show map & directions

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

Specialties & licences

PACE Provider Organization (primary) Taxonomy 251T00000X

Record details

NPI number1912862210
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedDecember 18, 2025
Last updated in NPPESDecember 18, 2025
Certification dateDecember 18, 2025
Mailing address2636 N 12th St, Ocean Springs, MS 39564-9481

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