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Phyllis St Amant Jackson
NPI 1104283340 · on the registry since 2016 · sole proprietor
Practice
- Address
- 13317 South Choctaw Drive
Suite C3
Baton Rouge, LA 70815 - Phone
- (225) 364-6208
- Organisation at this address
- J Woods Enterprises Llc
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- Contractor
171W00000X
- Sex
- Female
- Record last updated
- 2016-01-19
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