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Jacarri Jackson

NPI 1154780880 · on the registry since 2016

Practice

Address
343 Gaston Ln
Bossier City, LA 71112
Phone
(318) 461-2256

Registry record

Primary taxonomy
171M00000X
171M00000X
Also registered as
101Y00000X
101YM0800X
Sex
Male
Record last updated
2020-11-30

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