Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Jackson Rural Health Clinic P A

Organization Family Medicine Physician · NPI 1316975287

Jackson Rural Health Clinic P A provides Family Medicine Physician services in Rolling Fork, Mississippi. Licensed in Mississippi. Registered with an NPI since 2006.

Licensed in
MS
In the registry since
2006

Practice location Address checks out

29 S Fourth St
Rolling Fork, MS 39159-5146 Not confirmed with CMS for 13 years — call before visiting
Phone: (662) 873-4361
Fax: (662) 873-2921
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 253949 (MS)

Record details

NPI number1316975287
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Danny Jackson — Owner · (662) 873-4361
NPI enumeratedJune 29, 2006
Last updated in NPPESDecember 4, 2012
Mailing addressPo Box 520, Rolling Fork, MS 39159-0520

Other providers in Rolling Fork