SearchLouisiana171M00000X

Keisha Jackson

NPI 1043955727 · on the registry since 2022

Practice

Address
12097 Old Hammond Hwy Ste I4
Baton Rouge, LA 70816
Phone
(225) 328-0826
Fax
(225) 302-5506
Organisation at this address
Kennic Inc
Ddp Outreach, Llc
Michael R. Feldman, Llc
Trt Logistics Of Br Llc
A-Quality Patient Care Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
113

Registry record

Primary taxonomy
171M00000X
171M00000X
Also registered as
104100000X
Licence states on file
LA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2026-08-17

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