Priscilla Jackson, CFNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

R852296 Issued in MS

Practice address

225 Community Drive
Fayette, MS 39069

Phone

(601) 786-8206

Fax

(601) 786-6320

NPI assigned

Oct 17, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Enrolled in MS

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Jefferson Comprehensive Health Center, Inc.Group PAC ID 0345248100, 10 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Merit Health Natchez Hospital, Natchez, MS, CCN 250084

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Jefferson Comprehensive Health Center, Inc.

  • Federally Qualified Health Center (FQHC)
  • Fayette, MS
  • NPI 1962517185
  Medicare reassignment Care Compare group NPD
• Jefferson Comprehensive Health Center, Inc.

  dba Natchez High/Middle School Clinic

  • Federally Qualified Health Center (FQHC)
  • Natchez, MS
  • NPI 1538924840
  NPD
• Jefferson Comprehensive Health Center, Inc.

  dba School-Based Clinic Adams

  • Federally Qualified Health Center (FQHC)
  • Natchez, MS
  • NPI 1295037372
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Natchez Hospital Company LLC

  dba Merit Health Natchez

  • General Acute Care Hospital
  • Natchez, MS
  • NPI 1164821559
  Care Compare affiliation

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

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1962583971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 N PALESTINE RD",
            "city": "NATCHEZ",
            "state": "MS",
            "postal_code": "391209007",
            "telephone_number": "601-597-0229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 COMMUNITY DRIVE",
            "city": "FAYETTE",
            "state": "MS",
            "postal_code": "39069",
            "telephone_number": "601-786-8206",
            "fax_number": "601-786-6320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACKSON",
        "first_name": "PRISCILLA",
        "name_prefix": "Mrs.",
        "credential": "CFNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MS",
            "license": "R852296",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Harmony Hope Haven LLC (Harmony Hope ABA)
• Janecia Herrington
• Sharon Hudson
• Kadeshia Hunt, PCMHT
• Veronica R Hutchins-Clemons, NP
• Veronica Mays Jackson
• Jefferson Comprehensive Health Center Inc (Jefferson Comprehensive Health Center, Inc. Medical/Dental Mobile Unit)
• Jefferson Comprehensive Health Center Inc (JCHC School Based Clinic High School)
• Jefferson Comprehensive Health Center, Inc.
• Jefferson Comprehensive Health Center, Inc.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.