NPI

Paula Jo Jackson

This page is a copy of the public NPPES file.

Facts

Status
Active
Credential
RPh
Type
Individual
Enumeration date
2010-01-14
Last updated
2010-01-14

Specialties

Licenses

License NM
4257

Location

Practice location
1202 Highway 60
City
Socorro NM
Postal code
87801-3914
Phone
(575) 835-8771

Medicare

PECOS
No PECOS enrollment row matched this NPI.

LEIE

No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. OIG's online search is the official check.

Check this NPI on the exclusion page

OIG exclusion search

Nearby

Other NPIs in Socorro, NM. 270 records in the public file.

Removal request

Public data from NPPES and CMS. Not a credentialing determination.

Update a record in NPPES

Try it on your own data today.

Free to start. Most teams are using it the same day.