1 SapherCheck records found for Person Jackson, joseph
1. Jackson, Joseph
| Sector |
PHYSICIAN
|
|---|---|
| Profile Type | PERSON |
| Name |
JACKSON, JOSEPH
|
| Country |
UNITED STATES
|
| Birth Date |
1950-07-06
|
| First Seen | 2024-09-04 |
| Last Seen | 2024-10-25 |
| Last Change | 2024-09-04 |
| Npi Code |
1073633624
|
| Datasets |
US MISSISSIPPI MEDICAID TERMINATED PROVIDER LIST
|
| Address |
1990 POPPS FERRY ROAD BILOXI, MS 39532
|
| Topics |
DEBARRED ENTITY
|
1 Sanctions
1. Sanction Caption: Sanction| Sanction Caption | Sanction |
|---|---|
| Sanction Datasets |
US Mississippi Medicaid Terminated Provider List |
| Sanction First Seen | 2024-09-04 |
| Sanction Last Change | 2024-09-04 |
| Sanction Last Seen | 2024-10-25 |
| Sanction Properties |
Authority:
Mississippi Division of Medicaid Start Date: 2020-11-19 Country: United States Entity: us-medms-bde091c82cdf9ef6173c8e357a7b9dff20e492c5 Reason: License Suspended Source URL: https://medicaid.ms.gov/providers/provider-terminations/ |