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Dana Jackson
NPI 1326582263 · on the registry since 2016 · sole proprietor
Practice
- Address
- 2425 Youree Drive
Shreveport, LA 71104 - Phone
- (318) 743-3408
Registry record
- Primary taxonomy
- 101Y00000X
101Y00000X
- Also registered as
- 104100000X
- Sex
- Female
- Record last updated
- 2016-12-12
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