Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mrs. Jacquenett Jackson

Individual provider Adult Care Home Facility · NPI 1376727388

Mrs. Jacquenett Jackson is an Adult Care Home Facility in Shubuta, Mississippi. Practices as a sole proprietor. Registered with an NPI since 2007.

In the registry since
2007

Practice location Address checks out

114 Second St
Shubuta, MS 39360 Not confirmed with CMS for 18 years — call before visiting
Phone: (601) 687-1128
Fax: (601) 687-5497
Show map & directions

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

Specialties & licences

Adult Care Home Facility (primary) Taxonomy 311ZA0620X

Record details

NPI number1376727388
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedDecember 27, 2007
Last updated in NPPESDecember 27, 2007