Walter Jackson, DDS, MD

NPI 1255507588 · on the registry since 2008 · sole proprietor

Practice

Address: 4051 Veterans Memorial Blvd
Suite 200
Metairie, LA 70002
Phone: (504) 455-7161
Fax: (504) 455-7162
Organisation at this address: Thrivance Health Dba Reflourish Wellness
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 2

Registry record

Primary taxonomy: 1223S0112X
1223S0112X
Licence states on file: LA
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2009-06-17

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