Karla Jackson, ACNPC-AG

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

904658 Issued in MS

Practice address

3196 Highway 72 W
Corinth, MS 38834-9303

Phone

(662) 284-9541

NPI assigned

Jun 11, 2021

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Prime Cardiovascular, LLC

  • Cardiovascular Disease Physician
  • Corinth, MS
  • NPI 1265062434

  Multi-Specialty

  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1623369600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623369600000",
    "number": "1235707837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 634",
            "city": "CORINTH",
            "state": "MS",
            "postal_code": "388350634",
            "telephone_number": "662-416-8827"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3196 HIGHWAY 72 W",
            "city": "CORINTH",
            "state": "MS",
            "postal_code": "388349303",
            "telephone_number": "662-284-9541"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACKSON",
        "first_name": "KARLA",
        "credential": "ACNPC-AG",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-06-11",
        "last_updated": "2021-06-11",
        "certification_date": "2021-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": "MS",
            "license": "904658",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Imabong Idim, MD
• Imaging Associates of North Mississippi Magnolia PLLC
• James J Inderkummen, DO
• Dustin W Insell
• Arsalan Zafar Iqbal
• Mandar R Jagtap, D.O.
• James W. Cole, M.D.
• Madison Leggett James, NP
• Jessica Suzanne Jensen, MD
• Melina Paige Jetton, RN

• Nurse Practitioner in Corinth, MS
• Providers in Corinth, MS by specialty
• Nurse Practitioner in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.