Search › Louisiana › 343900000X
Anthony Jackson
NPI 1023595097 · on the registry since 2018 · sole proprietor
Practice
- Address
- 1224 Stokley Pl
Baton Rouge, LA 70815 - Phone
- (225) 329-4073
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 343900000X
343900000X
- Licence states on file
- LA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2018-07-23
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Louisiana