Search › Louisiana › 171M00000X
David Jackson
NPI 1053024315 · on the registry since 2023 · sole proprietor
Practice
- Address
- 245 Peregrine Way
Bossier City, LA 71112 - Phone
- (318) 422-3993
Registry record
- Primary taxonomy
- 171M00000X
171M00000X
- Sex
- Male
- Record last updated
- 2023-01-03
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