SearchLouisiana101YM0800X

Deaquanita Jackson

NPI 1053828566 · on the registry since 2018

Practice

Address
2800 Youree Dr Ste 301
Shreveport, LA 71104
Phone
(318) 210-0928
Fax
(318) 425-9644
Organisation at this address
17:7 Infinity Llc
Butler Transportation
Kenneth W Sanders Pllc
Sleep Diagnostics Inc.
Loyalty Healthcare Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
99

Registry record

Primary taxonomy
101YM0800X
101YM0800X
Sex
Female
Record last updated
2018-01-05

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