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

Paige Jackson

Individual provider Nurse Practitioner · NPI 1972047264

Paige Jackson is a Nurse Practitioner in Meridian, Mississippi. Qualified in 2016, 10 years ago. Practices with Mississippi Band of Choctaw Indians, a 23-clinician group and accepts Medicare assignment. Licensed in Mississippi.

Years since qualifying
10
Licensed in
MS
In the registry since
2016

Practice location Address checks out

4715 24th Pl
Meridian, MS 39305-1686
Phone: (601) 696-6736
Show map & directions

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

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 901728 (MS)

Record details

NPI number1972047264
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedDecember 6, 2016
Last updated in NPPESDecember 6, 2016
Mailing address11051 Road 779, Philadelphia, MS 39350-7437

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Mississippi Band Of Choctaw Indians — 23 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Other providers in Meridian