SearchLouisiana171M00000X

Donna Jackson

NPI 1477797009 · on the registry since 2009 · sole proprietor

Practice

Address
8080 Crowder Blvd Ste E
New Orleans, LA 70127
Phone
(504) 823-4989
Fax
(504) 831-7712
Organisation at this address
Raven Clinic
The Sisters Awareness
Dynamic Healthcare Inc
Edward Madison Iii, L.L.C
Amethyst & Associates Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
11

Registry record

Primary taxonomy
171M00000X
171M00000X
Also registered as
103K00000X
Licence states on file
LA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2020-03-09

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