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

Individual provider Pharmacist · NPI 1306115639

Milissa Jackson, DPH is a Pharmacist in Memphis, Tennessee. Licensed in Mississippi and Tennessee. Registered with an NPI since 2011.

Licensed in
MS, TN
In the registry since
2011
Specialties on file
2
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Practice location Address checks out

1863 Union Ave
Memphis, TN 38104-4028
Phone: (901) 272-2006
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence 0000010138 (TN)
Pharmacist Taxonomy 183500000X · Licence T-09517 (MS)

Record details

NPI number1306115639
Entity typeIndividual (Type 1)
GenderFemale
Credentials DPH
Sole proprietorNo
NPI enumeratedDecember 15, 2011
Last updated in NPPESDecember 15, 2011
Mailing address7830 Greenwich Dr W, Southaven, MS 38672-8407

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