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Avis Jackson
NPI 1396309399 · on the registry since 2019 · sole proprietor
Practice
- Address
- 714 Oakland Dr
Natchitoches, LA 71457 - Phone
- (318) 228-5396
Registry record
- Primary taxonomy
- 1041C0700X
1041C0700X
- Licence states on file
- LA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2019-04-24
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