Ellis Jackson is a mental health counselor in Tupelo, MS. Ellis Jackson NPI is 1225798143. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
2434 S EASON BLVD
TUPELO, MS
ZIP 38804-942
Phone: (662) 640-6416
Fax: (662) 680-6416
The enumeration date for this NPI number is 12/20/2021 and was last updated on 12/20/2021.