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

Mrs. Merrick Greene Jackson, NP

Individual provider Family Nurse Practitioner · NPI 1003420092

Mrs. Merrick Greene Jackson, NP is a Nurse Practitioner in Hattiesburg, Mississippi. Qualified in 2020, 6 years ago. Practices with Southern Bone and Joint Specialists, PA, a 53-clinician group and accepts Medicare assignment. Licensed in Mississippi.

Years since qualifying
6
Licensed in
MS
In the registry since
2020
Specialties on file
2
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

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Practice location Address checks out

3688 Veterans Memorial Dr Ste 200
Hattiesburg, MS 39401-8246
Phone: (601) 554-7400
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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 904374 (MS)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1003420092
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorNo
NPI enumeratedSeptember 7, 2020
Last updated in NPPESOctober 17, 2025
Certification dateOctober 17, 2025

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Southern Bone And Joint Specialists, Pa — 53 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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