Organization
Screen this subjectJackson Medical Supply
Debarred entityUnited States. Named in 1 sanctions listing.
Sanctions and listings1
- Effective
- 18 Dec 2025
Official designation
Mississippi Division of MedicaidUS Mississippi Medicaid Terminated Provider ListUnited States
Criminal Conduct
Identifiers1
| Identifier | Number |
|---|---|
| NPI number | 1689980948 |
Addresses1
5006 Highway 80 E, STE. B
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