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

Mrs. Jacquenett Jackson

Individual provider Adult Care Home Facility · NPI 1376727388

Mrs. Jacquenett Jackson is an Adult Care Home Facility in Shubuta, Mississippi. Practices as a sole proprietor. Registered with an NPI since 2007.

In the registry since
2007
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Practice location Address checks out

114 Second St
Shubuta, MS 39360
Phone: (601) 687-1128
Fax: (601) 687-5497
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Adult Care Home Facility (primary) Taxonomy 311ZA0620X

Record details

NPI number1376727388
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedDecember 27, 2007
Last updated in NPPESDecember 27, 2007