Tanya Jackson

NPI 1356431555 · on the registry since 2006 · sole proprietor

Practice

Address: 7521 Westbank Expy Ste B
Marrero, LA 70072
Phone: (504) 391-3191
Fax: (504) 391-3193
Organisation at this address: Health First Pharmacy
Phuong Thanh Vo Md Apmc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 2

Registry record

Primary taxonomy: 332BC3200X
332BC3200X
Licence states on file: LA
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2007-07-08

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