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

Mr. Jackson Cooper

Individual provider Family Nurse Practitioner · NPI 1043056757

Mr. Jackson Cooper is a Nurse Practitioner in Jackson, Mississippi. Qualified in 2024, 2 years ago. Practices with Jackson Pulmonary Associates, PA, a 33-clinician group and accepts Medicare assignment. Licensed in Mississippi.

Years since qualifying
2
Licensed in
MS
In the registry since
2024
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Practice location Address checks out

971 Lakeland Dr Ste 1052
Jackson, MS 39216-4609
Phone: (601) 981-9503
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 906765 (MS)

Record details

NPI number1043056757
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJuly 2, 2024
Last updated in NPPESJuly 2, 2024
Certification dateJuly 2, 2024
Mailing address971 Lakeland Dr Ste 1052, Jackson, MS 39216-4609

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Jackson Pulmonary Associates, Pa — 33 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Jackson