Cheryl May Jackson

Individual provider Active NPI Registered Nurse · Ripley, MS

NPI 1497558464 · NPPES record last updated Mar 27, 2025

Key facts

NPI
1497558464
Entity type
Individual (NPI type 1)
Primary specialty
Registered Nurse 163W00000X
License
888373 (MS)
Practice address
2441A County Road 501
Ripley, MS 38663-9677
Phone
(662) 837-8154
Fax
(662) 837-9462
NPI assigned
Mar 27, 2025
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
888373MSMDRegistered Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 888373 MS Yes

Addresses

Primary practice location

2441A County Road 501
Ripley, MS 38663-9677

Mailing address

PO Box 44
Blue Mountain, MS 38610-0044
Phone (662) 587-9484

Other providers in Ripley, MS

All providers in Ripley, MS · Registered Nurse in Mississippi

Sources for this page

Verify at the official NPI Registry.