Search › Louisiana › 101Y00000X
Jacquelyn Jackson
NPI 1114451721 · on the registry since 2017
Practice
- Address
- 3040 Teddy Drive
Baton Rouge, LA 70809 - Phone
- (225) 218-4444
- Clinicians at this address
- 44
Additional practice sites
- 1701 White St, Mccomb, MS
Registry record
- Primary taxonomy
- 101Y00000X
101Y00000X
- Also registered as
- 106S00000X
171M00000X - Licence states on file
- LA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2021-06-30
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