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

Robin Jackson

Individual provider Acute Care Nurse Practitioner · NPI 1669922670

Robin Jackson is a Nurse Practitioner in Tupelo, Mississippi. Qualified in 2016, 10 years ago. Practices with North Mississippi Medical Center, Inc, a 362-clinician group and accepts Medicare assignment. Licensed in Mississippi.

Years since qualifying
10
Licensed in
MS
In the registry since
2016
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Practice location Address checks out

830 S Gloster St 4th Fl East Tower
Tupelo, MS 38801-4934
Phone: (662) 377-7170
Fax: (662) 377-2423
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Acute Care Nurse Practitioner (primary) Taxonomy 363LA2100X · Licence 901796 (MS)

Record details

NPI number1669922670
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedOctober 13, 2016
Last updated in NPPESOctober 13, 2016
Mailing address450 E President Ave, Tupelo, MS 38801-5599

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 North Mississippi Medical Center, Inc. — 362 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Tupelo