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

Shelby H Jackson

Individual provider Family Nurse Practitioner · NPI 1841822152

Shelby H Jackson is a Nurse Practitioner in Grenada, Mississippi. Qualified in 2019, 7 years ago. Practices with State of Mississippi - University of Mississippi Medical Center, a 952-clinician group and accepts Medicare assignment. Licensed in Mississippi.

Years since qualifying
7
Licensed in
MS
In the registry since
2020
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

960 Avent Dr
Grenada, MS 38901-5230
Phone: (662) 227-7000
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 903610 (MS)

Record details

NPI number1841822152
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedFebruary 5, 2020
Last updated in NPPESMarch 5, 2021
Certification dateFebruary 17, 2021
Mailing address504 Clinton Center Drive, Cbo-Suite 4300, Jackson, MS 39056

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice State Of Mississippi - University Of Mississippi Medical Center — 952 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Grenada