JACKSON DIABETIC SUPPLY NPI 1801159157

NPI Information

  • NPI: 1801159157
  • Provider Name: JACKSON DIABETIC SUPPLY
  • Classification: Durable Medical Equipment & Medical Supplies - 332BX2000X
  • Specialization: Oxygen Equipment & Supplies
  • Entity Type: Organization
  • Address: 569 HIGHWAY 6 W
    BATESVILLE, MS
    ZIP 38606
  • Phone: (662) 563-1641

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NPI Details

JACKSON DIABETIC SUPPLY is an oxygen equipment and supplies durable medical equipment medical supplies in Batesville, MS. JACKSON DIABETIC SUPPLY NPI is 1801159157. The provider is registered as an organization entity type.

The provider's business location address is:

569 HIGHWAY 6 W
BATESVILLE, MS
ZIP 38606-519
Phone: (662) 563-1641
Fax: (662) 563-7304

The provider's authorized official is Tamekia Jackson .
The authorized official title is Administrator and has the following contact phone number (662) 563-1641.

The enumeration date for this NPI number is 6/21/2012 and was last updated on 6/21/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1332BX2000XDurable Medical Equipment & Medical SuppliesOxygen Equipment & SuppliesF11388MISSISSIPPIYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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