Search › Louisiana › 101YM0800X
James Jackson
NPI 1417406380 · on the registry since 2016 · sole proprietor
Practice
- Address
- 1700 Lake St
Lake Providence, LA 71254 - Phone
- (318) 559-0551
- Clinicians at this address
- 36
Registry record
- Primary taxonomy
- 101YM0800X
101YM0800X
- Licence states on file
- LA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2016-10-03
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