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MICHELLE MARTINE JACKSON

Debarred entity

MICHELLE MARTINE JACKSON is a person of interest. They have not been found on international sanctions lists.

Type	Person				[sources]
Name	Jackson, Michelle · MICHELLE MARTINE JACKSON				[sources]
Birth date	1966-09-28				[sources]
Nationality	not available				[sources]
Country	United States				[sources]
First name	MICHELLE				[sources]
Last name	JACKSON				[sources]
Middle name	MARTINE				[sources]
NPI	`1568479715`				[sources]
Sector	Physician				[sources]
Position	INTERNAL MEDICINE (PHYSICIAN (MD, DO))				[sources]
Address	5621 Cottage Hill Road Mobile, AL 36609 · P O BOX 7007, 05967-509, MARIANNA, FL 32447				[sources]
Last change	2025-09-12	Last processed	2025-10-21	First seen	2024-05-08

Sanctions
Country	Authority	Program	Start date	End date
United States	Department of Health and Human Services Office of Inspector General		2023-01-19	-

Service providers who have been terminated for cause from Mississippi's Medicaid program.

United States of America · Mississippi Division of Medicaid

People and companies excluded from Federally funded health care programs

United States · OIG

Source data IDs: us-medms-1fedd3509c5434acf32d9d5b11994e7300d9a4ce · us-fed-excl-michelle-martine-jackson-32447-marianna

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