Search › Louisiana › 101YP2500X
Tracie Jackson, MA, PC2
NPI 1518997196 · on the registry since 2006
Practice
- Address
- 6005 Financial Plz
Shreveport, LA 71129 - Phone
- (318) 632-2040
- Fax
- (318) 632-2073
- Clinicians at this address
- 14
Registry record
- Primary taxonomy
- 101YP2500X
101YP2500X
- 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