Search › Louisiana › 171M00000X
Dominic Jackson
NPI 1518533843 · on the registry since 2021
Practice
- Address
- 4201 N I 10 Service Rd W
Metairie, LA 70006 - Phone
- (888) 880-9270
- Clinicians at this address
- 1,294
Additional practice sites
- 3303 Tulane Ave, New Orleans, LA
- 4300 S I 10 Service Rd W Ste 215, Metairie, LA
Registry record
- Primary taxonomy
- 171M00000X
171M00000X
- Also registered as
- 106S00000X
- Licence states on file
- LA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2025-02-24
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