Organization

Jackson Medical Supply

Debarred entity

United States. Named in 1 sanctions listing.

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Sanctions and listings1

  • Effective
    18 Dec 2025

    Official designation

    Mississippi Division of MedicaidUS Mississippi Medicaid Terminated Provider ListUnited States

    Criminal Conduct

    medicaid.ms.gov

Identifiers1

IdentifierNumber
NPI number1689980948

Addresses1

  • 5006 Highway 80 E, STE. B

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